Organization
BRADENTON OAKS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JONENE EISCH (EXECUTIVE DIRECTOR)
(941) 746-8108
Entity
Organization
Contact information
Practice address
1015 7TH AVE E, BRADENTON, FL 34208-2103
(941) 746-8108
Mailing address
1015 7TH AVE E, BRADENTON, FL 34208
(941) 746-8108
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL6662
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5026
UNIVERSAL HEALTH CARE
FL
Enumeration date
10/16/2008
Last updated
10/16/2008
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