Organization
HAMPTON MANOR OF ORMOND BEACH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PEDER JOHNSEN (CEO)
(352) 387-1830
Entity
Organization
Contact information
Practice address
1050 OCEAN SHORE BLVD, ORMOND BEACH, FL 32176-4126
(386) 441-1771
(386) 441-1778
Mailing address
1050 OCEAN SHORE BLVD, ORMOND BEACH, FL 32176-4126
(386) 441-1771
(386) 441-1778
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL8860
FL
Other
Enumeration date
06/09/2010
Last updated
06/09/2010
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