# LORRAINE ASSISTED CARE DBA MELISSA ANN BONGART

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Melissa Ann Bongart
- **Organization subpart:** No

## Provider details

- **NPI number:** 1609117621
- **Authorized official:** MELISSA ANN BONGART (OWNER)
- **Authorized official phone:** (941) 504-9412

## Contact information

- **Practice address:** 5916 LORRAINE RD, BRADENTON, FL 34211-9208
- **Practice address phone:** (941) 504-9412
- **Mailing address:** 5916 LORRAINE ROAD, BRADENTON, FL 34211
- **Mailing address phone:** (941) 504-9412

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 311ZA0620X | Adult Care Home Facility | 6906389 | FL | Yes |

## Other

- **Enumeration date:** 03/15/2013
- **Last updated:** 03/15/2013