Organization
TERRACE OF DAYTONA BEACH LLC
Active
Other names
terrace of daytona beach
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DONNA MARSH (CFO)
(386) 244-1054
Entity
Organization
Contact information
Practice address
1704 HUNTINGTON VILLAGE CIR, DAYTONA BEACH, FL 32114-1484
(386) 255-6571
(386) 255-1949
Mailing address
1704 HUNTINGTON VILLAGE CIR, DAYTONA BEACH, FL 32114-1484
(386) 255-6571
(386) 255-1949
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
1244096
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
021378400
—
FL
Enumeration date
03/17/2006
Last updated
05/02/2014
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