| NPI | 1780825489 |
|---|---|
| Doing Business As | BRISIANA MANOR |
| Entity Type | Organization |
| Authorized Contact | JACQUELINE ST JUSTE Medicaide Eligible 941-371-4096 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: FL AL11449) |
| Enumeration Date | 2009-03-10 |
| Last Update Date | 2016-09-27 |