NPI | 1013455096 |
---|---|
Doing Business As | THE RANCH ALF |
Entity Type | Organization |
Authorized Contact | MELISSA ANN BONGART Owner / Operator 941-504-9412 |
Organization Subpart ? | No |
Primary Taxonomy | 310400000X Assisted Living Facility (Licence: FL AL12936) |
Additional Taxonomies | 3104A0625X Assisted Living Facility, Assisted Living, Mental Illness (Licence: FL AL12936) |
385H00000X Respite Care (Licence: FL AL12936) | |
Enumeration Date | 2017-02-09 |
Last Update Date | 2017-05-10 |