60TH AVENUE ALF LLC NPI 1053751693

NPI Information

NPI: 1053751693
Provider Name: 60TH AVENUE ALF, LLC
Classification: Assisted Living Facility - 310400000X
Entity Type: Organization
Address:
2800 60TH AVE W
BRADENTON, FL
ZIP 34207
Phone: (941) 752-1990
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60TH AVENUE ALF, LLC is an assisted living facility in Bradenton, FL. The provider is 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. 60TH AVENUE ALF, LLC NPI is 1053751693. The provider is registered as an organization entity type.

The provider's business location address is:

2800 60TH AVE W
BRADENTON, FL
ZIP 34207-324
Phone: (941) 752-1990
Fax: (941) 752-1740

The provider's authorized official is Christopher L Wettig .
The authorized official title is Cfo and has the following contact phone number (316) 616-6288.

The enumeration date for this NPI number is 6/27/2013 and was last updated on 6/27/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	310400000X	Assisted Living Facility		AL9932	FLORIDA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/15/2022

NPI Synchronization or Removal

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