Organization
PARADISE REST
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SHERYL RAINEY (ADMINISTRATOR)
(478) 234-1860
Entity
Organization
Contact information
Practice address
1207 30TH AVE E, BRADENTON, FL 34208-4201
(941) 746-4761
(888) 747-9545
Mailing address
1207 30TH AVE E, BRADENTON, FL 34208-4201
(941) 746-4761
(888) 747-9545
Taxonomy
Speciality
Code
Description
License number
State
3104A0625X
Assisted Living Facility (Mental Illness)
Primary
AL8065
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
140725200
—
FL
Enumeration date
01/30/2014
Last updated
01/30/2014
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