Organization
A BRIDGE FOR INDEPENDENCE PLUS LLC
Active
Other names
Croton Manor
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY STANFORD RN, BSBA, QMHP (OWNER/ADMINISTRATOR)
(941) 960-3222
Entity
Organization
Contact information
Practice address
2512 CROTON AVE, SARASOTA, FL 34239-4907
(941) 927-0139
Mailing address
7723 HOLIDAY DR, SARASOTA, FL 34231-5313
(941) 960-3222
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
ALFAL8427
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
020223800
—
FL
Enumeration date
05/01/2017
Last updated
05/01/2017
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