Organization
SOUTH DAYTONA HEALTH CARE ASSOCIATES LLC
Active
Other names
Oaktree Healthcare
Organization subpart
No
Provider details
NPI number
Authorized official
CHERYL A. FREDSALL (MANAGER)
(386) 767-4831
Entity
Organization
Contact information
Practice address
650 REED CANAL RD, SOUTH DAYTONA, FL 32119-3230
(386) 767-4831
(386) 767-8253
Mailing address
650 REED CANAL RD, SOUTH DAYTONA, FL 32119-3230
(386) 767-4831
(386) 767-8253
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
SNF1122096
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
025247600
—
FL
Enumeration date
05/25/2006
Last updated
08/02/2012
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