Organization Name: | BREA DUNEDIN LLC |
NPI Number: | 1043444003 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | BRYAN RICHARDSON (EVP, CHIEF ADMIN. OFFICER) |
Mailing Address: | 880 Patricia Ave Dunedin |
State: | FL US |
Postal Code: | 346984698 |
Phone Number: | 4077393044 |
Fax Number: | 2062041546 |
NPI Enumeration Date: | 05/06/2009 |
NPI Last Update Date: | 05/13/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 311500000X |
License Number: | AL5104 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | FL |
Taxonomy Type: | Nursing & Custodial Care Facilities |
Taxonomy Classification: | Alzheimer Center (Dementia Center) |
Taxonomy Specialization: | |
Taxonomy Definition: | A freestanding facility or special care unit of a long term care facility focusing on patient care of individuals diagnosed with dementia or Alzheimer |