Organization
BROWNS BOARDING ALF
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BECKY BROWN WITTER (OWNER)
(941) 747-5102
Entity
Organization
Contact information
Practice address
113 11TH AVE W, BRADENTON, FL 34205-8753
(941) 747-5102
(941) 748-7102
Mailing address
113 11TH AVE W, BRADENTON, FL 34205-8753
(941) 747-5102
(941) 748-7102
Taxonomy
Speciality
Code
Description
License number
State
3104A0630X
Assisted Living Facility (Behavioral Disturbances)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
688379296
—
FL
Enumeration date
02/09/2009
Last updated
02/09/2009
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