10D2083770 CLIA NUMBER - BRADENTON OAKS OF COURTYARD

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Laboratory Demographics

CLIA Number: 10D2083770

Facility Name: BRADENTON OAKS OF COURTYARD

Facility Address:
1015 75TH AVE E
BRADENTON, FL
ZIP 34208
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Facility Phone Number: 941 746-8108

Facility Type: Assisted Living Facility

Certificate Type: Waiver

NPI Number: 1356593719

Taxonomy: 310400000X - Assisted Living Facility
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.

CLIA Record

Field Name	Field Value
CLIA Number	10D2083770
LAB Type	Assisted Living Facility
Facility Name	BRADENTON OAKS OF COURTYARD
Street	1015 75TH AVE E
City	BRADENTON
State	FL
ZIP	34208
Phone	941 746-8108
CertificateType	4
CertificateEffectiveDate	9/11/2022
CertificateExpirationDate	9/10/2024
FacilityType	Waiver

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This page was last updated on: 4/23/2024