Organization
BRI GARDENS ASSISTED LIVING FACILITY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREA B DURAN (ADMINISTRATOR)
(352) 437-3034
Entity
Organization
Contact information
Practice address
12035 HILLSIDE CT, DADE CITY, FL 33525-6004
(352) 437-3034
Mailing address
12035 HILLSIDE CT, DADE CITY, FL 33525-6004
(352) 437-3034
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
AL12441
FL
Other
Enumeration date
09/17/2014
Last updated
09/17/2014
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