Organization
NORTHWEST CARE CENTRE
Active
Other names
Excelsior Care
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JEREMIAH JOSEPH GUCCIONE (OPERATIONS OFFICER)
(941) 798-3949
Entity
Organization
Contact information
Practice address
802 71ST ST NW, BRADENTON, FL 34209-1515
(941) 798-3949
(941) 795-4780
Mailing address
802 71ST ST NW, BRADENTON, FL 34209-1515
(941) 798-3949
(941) 795-4780
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
FL
Other
Enumeration date
04/19/2007
Last updated
08/22/2020
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