Healthcare Provider Details

I. General information

NPI: 1174068001
Provider Name (Legal Business Name): APPLE A DAY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/02/2017
Last Update Date: 01/02/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4802 51ST ST W APT 402
BRADENTON FL
34210-5104
US

IV. Provider business mailing address

4802 51ST ST W APT 402
BRADENTON FL
34210-5104
US

V. Phone/Fax

Practice location:
  • Phone: 941-730-1789
  • Fax:
Mailing address:
  • Phone: 941-730-1789
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License NumberARNP9194963
License Number StateFL

VIII. Authorized Official

Name: CINDY DREW
Title or Position: OWNER
Credential: ARNP
Phone: 941-545-6013