MEDICARE: BELLE VIE ASSISTED LIVING FACILITY

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	310400000X	Assisted Living Facility

General Provider Information

NPI Number	:	1649903709
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BELLE VIE ASSISTED LIVING FACILITY

Provider Business Mailing Address
First Line	:	7711 N MILITARY TRL # 409
Second Line	:
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33410-6506
Country	:	US
Telephone Number	:	561-710-2288
Fax Number	:

Provider Business Practice Location Address
First Line	:	2757 HYPOLUXO RD
Second Line	:
City	:	LAKE WORTH
State	:	FL
Zip	:	33462-3826
Country	:	US
Telephone Number	:	561-714-3968
Fax Number	:

Authorized Official
Title or Position	:	ADMINISTRATOR/MANAGER
Name	:	GRACE JUDGE
Credential	:
Telephone Number	:	561-714-3968

Provider Enumeration Date	:	07/06/2022
Last Update Date	:	07/31/2024

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