60th Avenue Alf, LLC
Assisted Living Facility in Bradenton, FL. Organization (NPI-2).
NPI number1053751693
StatusActive
Last updated in NPPESJun 27, 2013
Details
- NPI
- 1053751693
- Entity type
- Organization (NPI-2)
- Legal business name
- 60th Avenue Alf, LLC
- Organization subpart
- Yes
- Enumeration date
- Jun 27, 2013
- Last updated
- Jun 27, 2013
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 310400000X | Assisted Living Facility | AL9932 | FL | Yes |
Practice location
2800 60th Ave WBradenton, FL 34207-4324
Phone 941-752-1990 · Fax 941-752-1740
Mailing address
8415 E 21st St N Ste 100Wichita, KS 67206-2959
Phone 316-616-6288 · Fax 316-616-6255
Authorized official
Christopher L Wettig
Cfo
3166166288
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