S-H Thirty-Five Opco - Bella Vita, LLC

NPI #1184002917 in Venice, Florida

Provider Information

NPI Number: 1184002917
Entity Type: Organization
Organization Name: S-H Thirty-Five Opco - Bella Vita, LLC
Primary Specialty: Assisted Living Facility
Enumeration Date: May 13, 2015
Last Updated: May 13, 2015

Practice Location

Address: 1420 E VENICE AVE
City: Venice
State: Florida
ZIP Code: 34292-3063
Phone: (941) 485-1196

Authorized Official

Name: MARK OHLENDORF
Title: CFO
Phone: (414) 918-5000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Assisted Living Facility	310400000X	Primary

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