# ACTIVE SENIOR FITNESS & COMPANION LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1053186320
- **Authorized official:** JENNIFER RITTER (AMBR)
- **Authorized official phone:** (941) 623-7900

## Contact information

- **Practice address:** 5225 33RD ST E, BRADENTON, FL 34203-4330
- **Practice address phone:** (941) 623-7900
- **Mailing address:** 12278 23RD ST E, PARRISH, FL 34219-6900
- **Mailing address phone:** (941) 623-7900

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 11/16/2023
- **Last updated:** 01/03/2024