Provider Demographics
NPI:1376770156
Name:VILLA BELLA ACQUISITIONS
Entity Type:Organization
Organization Name:VILLA BELLA ACQUISITIONS
Other - Org Name:ALEXANDER COURT MEMORY CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:HOLLY
Authorized Official - Middle Name:
Authorized Official - Last Name:CARROLL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:805-898-2650
Mailing Address - Street 1:325 W ISLAY ST
Mailing Address - Street 2:
Mailing Address - City:SANTA BARBARA
Mailing Address - State:CA
Mailing Address - Zip Code:93101-2804
Mailing Address - Country:US
Mailing Address - Phone:805-898-2650
Mailing Address - Fax:805-898-2652
Practice Address - Street 1:325 W ISLAY ST
Practice Address - Street 2:
Practice Address - City:SANTA BARBARA
Practice Address - State:CA
Practice Address - Zip Code:93101-2804
Practice Address - Country:US
Practice Address - Phone:805-898-2650
Practice Address - Fax:805-898-2652
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-06-18
Last Update Date:2009-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA425801504311500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes311500000XNursing & Custodial Care FacilitiesAlzheimer Center (Dementia Center)