Organization
COMMUNITY ASSISTED AND SUPPORTED LIVING, INC.
Active
Other names
Renaissance Manor
Organization subpart
No
Provider details
NPI number
Authorized official
JULIAN S ELLER (CEO)
(941) 225-2373
Entity
Organization
Contact information
Practice address
1401 16TH ST, SARASOTA, FL 34236-2519
(941) 365-8645
(941) 955-0520
Mailing address
1401 16TH ST, SARASOTA, FL 34236-2519
(941) 365-8645
(941) 955-0520
Taxonomy
Speciality
Code
Description
License number
State
3104A0625X
Assisted Living Facility (Mental Illness)
Primary
5258
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
140990500
—
FL
Enumeration date
08/19/2010
Last updated
08/19/2020
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