| NPI | 1609117621 |
|---|---|
| Doing Business As | MELISSA ANN BONGART |
| Entity Type | Organization |
| Authorized Contact | MELISSA ANN BONGART Owner 941-504-9412 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: FL 6906389) |
| Enumeration Date | 2013-03-15 |
| Last Update Date | 2013-03-15 |