Provider Demographics
NPI:1639499320
Name:VEGA FAMILY ASSISTED LIVING FACILITIES LLC
Entity type:Organization
Organization Name:VEGA FAMILY ASSISTED LIVING FACILITIES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:FRANCIS
Authorized Official - Middle Name:
Authorized Official - Last Name:VEGA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:813-412-9520
Mailing Address - Street 1:7750 BRETTONWOOD DR
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33615-1346
Mailing Address - Country:US
Mailing Address - Phone:813-412-9520
Mailing Address - Fax:813-442-6363
Practice Address - Street 1:7750 BRETTONWOOD DR
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33615-1346
Practice Address - Country:US
Practice Address - Phone:813-412-9520
Practice Address - Fax:813-442-6363
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-06-04
Last Update Date:2010-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAL11402310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility