10D2111710 CLIA NUMBER - INSPIRED LIVING AT BONITA SPRINGS

Laboratory Demographics

CLIA Number: 10D2111710

Facility Name: INSPIRED LIVING AT BONITA SPRINGS

Facility Address:
27221 BAY LANDING DRIVE
BONITA SPRINGS, FL
ZIP 34135
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Facility Phone Number: 239 301-3095

Facility Type: Assisted Living Facility

Certificate Type: Waiver

NPI Number: 1386319127

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	10D2111710
LAB Type	Assisted Living Facility
Facility Name	INSPIRED LIVING AT BONITA SPRINGS
Street	27221 BAY LANDING DRIVE
City	BONITA SPRINGS
State	FL
ZIP	34135
Phone	239 301-3095
CertificateType	4
CertificateEffectiveDate	4/13/2024
CertificateExpirationDate	4/12/2026
FacilityType	Waiver

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