| NPI | 1053739920 |
|---|---|
| Doing Business As | THE RANCH ASSITED LIVING FACILITY |
| Entity Type | Organization |
| Authorized Contact | MELISSA ANN BONGART Owner/Administrator 941-504-9412 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: FL AL12366) |
| Additional Taxonomies | 261QA0600X Clinic/Center, Adult Day Care (Licence: FL AL12366) |
| 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: FL AL12366) | |
| 385H00000X Respite Care (Licence: FL AL12366) | |
| Enumeration Date | 2014-03-28 |
| Last Update Date | 2014-03-28 |