Organization
INDIGO CENTER FOR SENIOR LIVING LLC
Active
Other names
Woodland Towers
Organization subpart
No
Provider details
NPI number
Authorized official
MORDECHAI WEISZ (CEO)
(347) 631-4068
Entity
Organization
Contact information
Practice address
113 W CHIPOLA AVE, DELAND, FL 32720-7512
(386) 738-2700
(386) 822-9296
Mailing address
113 W CHIPOLA AVE, DELAND, FL 32720-7512
(386) 738-2700
(386) 822-9296
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
113963100
—
FL
01
—
AL7143
LICENSURE
FL
Enumeration date
03/30/2022
Last updated
09/15/2022
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