- Facility Name
- BRANDON BG OPCO LLC
- Type / Classification
- Assisted Living Facility
- Address
- 700 S KINGS AVE, BRANDON, FL 33511
- Phone Number
- (813) 662-0255
- NPI Number
- 1497202576
- Authorized Official
- PETER TARSNEY (Authorized Signatory)
- Enumeration Date
- 2016-09-06