| NPI | 1205179652 |
|---|---|
| Doing Business As | GRAND VILLA OF MELBOURNE |
| Entity Type | Organization |
| Authorized Contact | DENNIS FORTE Manager 727-726-3980 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: FL AL11991) |
| Enumeration Date | 2013-04-04 |
| Last Update Date | 2013-04-04 |