WESTSIDE GROUP HOME, INC.
Residential Treatment Facilities at 43 St, Bradenton, FL

License number
Florida 3209000000X
Category
Residential Treatment Facilities
Type
Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities
Owner
Name: MRS. ILIANA R STOKES
Title: PSD
Phone: (941) 794-5759
Address
Address
2602 43Rd St W, Bradenton, FL 34209
National Provider ID: 1588967723
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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Westside Group Home, Inc

Bradenton, FL

Industry:
Residential Care Services
Registration:
Sep 10, 2007
Phone:
(941) 795-1084 (Phone)
Addresses:
2602 43 St W, Bradenton, FL 34209
6304 1 Ave W, Bradenton, FL 34209
State ID:
P07000103548
Business type:
Domestic for Profit Corporation
President, Secretary, Director:
Iliana R. Stokes (President, Secretary, Director)
Categories:
Residential Care Facilities

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