Organization
BEAR ASSISTED LIVING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHIRAG AMIN RPH (OWNER)
(813) 967-3808
Entity
Organization
Contact information
Practice address
2411 FORTUNE RD, KISSIMMEE, FL 34744-3964
(813) 967-3808
(407) 348-0031
Mailing address
2411 FORTUNE RD, KISSIMMEE, FL 34744-3964
(813) 967-3808
(407) 348-0031
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102786300
—
FL
Enumeration date
05/29/2019
Last updated
05/29/2019
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