Organization
BRADENTON COUNCIL ON AGING LLC
Active
Other names
Riverfront Nursing and Rehabilitation Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. EDWARD W HURT CPA (CHIEF FINANCIAL OFFICER)
(352) 376-8821
Entity
Organization
Contact information
Practice address
105 15TH ST E, BRADENTON, FL 34208-1337
(941) 747-8681
(941) 747-7091
Mailing address
1311 SW 16TH ST, GAINESVILLE, FL 32608-1128
(352) 376-8821
(352) 376-3654
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
SNF1330096
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
025994200
—
FL
Enumeration date
08/10/2005
Last updated
01/22/2013
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