# COMMUNITY ASSISTED AND SUPPORTED LIVING, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Renaissance Manor
- **Organization subpart:** No

## Provider details

- **NPI number:** 1902112659
- **Authorized official:** JULIAN S ELLER (CEO)
- **Authorized official phone:** (941) 225-2373

## Contact information

- **Practice address:** 1401 16TH ST, SARASOTA, FL 34236-2519
- **Practice address phone:** (941) 365-8645
- **Practice address fax:** (941) 955-0520
- **Mailing address:** 1401 16TH ST, SARASOTA, FL 34236-2519
- **Mailing address phone:** (941) 365-8645
- **Mailing address fax:** (941) 955-0520

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3104A0625X | Assisted Living Facility (Mental Illness) | 5258 | FL | Yes |

## Other

- **Enumeration date:** 08/19/2010
- **Last updated:** 08/19/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 140990500 | — | FL |