Organization Name: | SERENITY GARDENS OF BRADENTON, LLC |
NPI Number: | 1417236001 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ROBERTA ELLEN JACKSON (PRESIDENT/ADMINISTRATOR) |
Mailing Address: | 2211 29th Ave W Bradenton |
State: | FL US |
Postal Code: | 342055254 |
Phone Number: | 9417467711 |
Fax Number: | 9417467712 |
NPI Enumeration Date: | 08/12/2011 |
NPI Last Update Date: | 08/12/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 310400000X |
License Number: | AL11603 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Nursing & Custodial Care Facilities |
Taxonomy Classification: | Assisted Living Facility |
Taxonomy Specialization: | |
Taxonomy Definition: | A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. |