# CONCIERGE CARE OF DAYTONA, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1033517404
- **Authorized official:** MS. NANCY RALSTON RN (MANAGING PARTNER)
- **Authorized official phone:** (904) 534-1655

## Contact information

- **Practice address:** 555 W GRANADA BLVD STE H9, ORMOND BEACH, FL 32174-9432
- **Practice address phone:** (386) 868-1555
- **Practice address fax:** (904) 485-8253
- **Mailing address:** 6817 SOUTHPOINT PKWY STE 1004, JACKSONVILLE, FL 32216-8201
- **Mailing address phone:** (904) 861-0196
- **Mailing address fax:** (904) 485-8253

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 12/16/2014
- **Last updated:** 10/25/2024