NIC 4 BRADENTON OAKS LEASING LLC NPI 1164866869

NPI Information

NIC 4 BRADENTON OAKS LEASING 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. NIC 4 BRADENTON OAKS LEASING LLC NPI is 1164866869. The provider is registered as an organization entity type.
The provider Is Doing Business As Bradenton Oaks Courtyard.

The provider's business location address is:

1015 7TH AVE EAST
BRADENTON, FL
ZIP 34208
Phone: (941) 746-8108
Fax: (941) 746-8366

The provider's authorized official is Jane Ryu .
The authorized official title is President/ceo/cfo and has the following contact phone number (212) 479-5270.

The enumeration date for this NPI number is 4/24/2013 and was last updated on 12/1/2016.

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:

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