Healthcare Provider Details

I. General information

NPI: 1114937760
Provider Name (Legal Business Name): ARC BRADENTON HC INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/08/2006
Last Update Date: 01/30/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6501 17TH AVE W
BRADENTON FL
34209-7858
US

IV. Provider business mailing address

6501 17TH AVE W
BRADENTON FL
34209-7858
US

V. Phone/Fax

Practice location:
  • Phone: 941-798-8000
  • Fax:
Mailing address:
  • Phone: 941-798-8000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number
License Number State

VIII. Authorized Official

Name: BRYAN RICHARDSON
Title or Position: CFO
Credential:
Phone: 615-221-2250