BRADENTON COUNCIL ON AGING LLC
Assisted Living Facility
Bradenton, Florida
Provider NPI: 1053312165
Organization Information:Organization Name: BRADENTON COUNCIL ON AGING LLC
Practice Location:
105 15TH ST E BRADENTON, FL 34208 US
Tel: 941-750-9691 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Other Provider Identifiers:
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
Practice Location:
105 15TH ST E BRADENTON, FL 34208 US
Tel: 941-750-9691 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
Y | 310400000X | Nursing & Custodial Care Facilities Assisted Living Facility | FL | AL8659 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
687305700 | FL | 05 | |
141883100 | FL | 05 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin