Bella Vida at Lake Forest, LLC
NPI #1871212357 in Mount Dora, Florida
Provider Information
- NPI Number
- 1871212357
- Entity Type
- Organization
- Organization Name
- Bella Vida at Lake Forest, LLC
- Primary Specialty
- Assisted Living Facility
- Enumeration Date
- Aug 26, 2022
- Last Updated
- Aug 26, 2022
Practice Location
- Address
- 4055 LAKE FOREST ST
- City
- Mount Dora
- State
- Florida
- ZIP Code
- 32757-5211
- Phone
- (352) 269-3779
Authorized Official
- Name
- PENNY BROWNELL
- Title
- ADMINISTRATOR
- Phone
- (352) 431-5159
Specialties & Taxonomy Codes
| Specialty |
|---|
| Assisted Living Facility |
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