NPI 1013947084

Ccrc Opco - Bradenton, LLC

Organisation Skilled Nursing Facility Bradenton, FL

Practice location

Address: 6410 21st Ave W, Bradenton, FL 34209-7854
Phone: (941) 798-8200
Fax: (941) 798-8305
Mailing address: 111 Westwood Pl Suite 200, Brentwood, TN 37027-5021

Authorised official

Name: Mark W Ohlendorf
Title: President
Phone: (414) 918-5000

Registered specialties

Skilled Nursing Facility Primary

Nursing & Custodial Care Facilities Taxonomy 314000000X Licence SNF1168096 (FL)

Other Skilled Nursing Facility providers in Florida →

Registry record

NPI: 1013947084
Entity type: Organization
NPI issued: 4 Jul 2006
Record last updated: 3 Oct 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.