Organization
LORRAINE ASSISTED CARE, INC
Active
Other names
The Ranch Assited Living Facility
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MELISSA ANN BONGART (OWNER/ADMINISTRATOR)
(941) 504-9412
Entity
Organization
Contact information
Practice address
5916 LORRAINE RD, BRADENTON, FL 34211-9208
(941) 504-9412
(941) 761-5200
Mailing address
5916 LORRAINE RD, BRADENTON, FL 34211-9208
(941) 504-9412
(941) 761-5200
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
AL12366
FL
310400000X
Assisted Living Facility
Primary
AL12366
FL
311ZA0620X
Adult Care Home Facility
AL12366
FL
385H00000X
Respite Care
AL12366
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004043700
—
FL
Enumeration date
03/28/2014
Last updated
03/28/2014
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