Organization
DIXIE OAK MANOR LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SCOTT FUNNELL (OWNER/ADMINISTRATOR)
(772) 564-9393
Entity
Organization
Contact information
Practice address
6410 OLD DIXIE HWY, VERO BEACH, FL 32967-5909
(772) 564-6363
Mailing address
6410 OLD DIXIE HWY, VERO BEACH, FL 32967-5909
(772) 564-6363
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL8502
FL
Other
Enumeration date
08/19/2013
Last updated
08/19/2013
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