Organization
BRADENTON COUNCIL ON AGING LLC
Active
Other names
The Verandas at Riverfront
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES W ECKLOF JR. (CHIEF FINANCIAL OFFICER)
(352) 376-8821
Entity
Organization
Contact information
Practice address
105 15TH ST E, BRADENTON, FL 34208-1337
(941) 750-9691
(941) 750-9554
Mailing address
1311 SW 16TH ST, GAINESVILLE, FL 32608-1128
(352) 376-8821
(352) 376-3654
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL8659
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
141883100
—
FL
05
—
687305700
—
FL
Enumeration date
08/10/2005
Last updated
10/13/2009
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