Organization
LOUISA GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL ENGELHARDT (CEO)
(315) 416-9191
Entity
Organization
Contact information
Practice address
5700 24TH ST E, BRADENTON, FL 34203-4940
(417) 230-2253
Mailing address
18229 OHARA DR, PORT CHARLOTTE, FL 33948-9537
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
FL
Other
Enumeration date
03/16/2015
Last updated
03/16/2015
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