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Organization
THE RANCH ALF, INC
Active
Organization
THE RANCH ALF, INC
Active
Other names
The Ranch ALF
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MELISSA ANN BONGART (OWNER / OPERATOR)
(941) 504-9412
Entity
Organization
Contact information
Practice address
4919 LORRAINE RD, BRADENTON, FL 34211-9269
(941) 504-9412
(941) 761-5200
Mailing address
4919 LORRAINE RD, BRADENTON, FL 34211-9269
(941) 504-9412
(941) 761-5200
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL12936
FL
3104A0625X
Assisted Living Facility (Mental Illness)
AL12936
FL
385H00000X
Respite Care
AL12936
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
019988800
—
FL
01
—
AL12936
AHCA LICENSE NUMBER
FL
Enumeration date
02/09/2017
Last updated
05/10/2017
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