Organization
MADISON AMERICAN BONITA SPRINGS TRS I, LLC
Active
Other names
American House Bonita
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SHEILA DARGA (VP CORPORATE LICENSING)
(248) 203-1800
Entity
Organization
Contact information
Practice address
11400 LONGFELLOW LN, BONITA SPRINGS, FL 34135-5963
(239) 301-4239
(239) 301-0613
Mailing address
1 TOWNE SQ STE 1600, SOUTHFIELD, MI 48076-3728
(248) 203-1800
(248) 203-2929
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
11/17/2021
Last updated
11/17/2021
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