Organization
INDIGO PALMS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PAUL JAMESON MARSH MITCHELL I CALA (ADMINISTRATOR)
(386) 238-3333
Entity
Organization
Contact information
Practice address
570 NATIONAL HEALTH CARE DR, DAYTONA BEACH, FL 32114-1494
(386) 238-3333
(386) 238-3414
Mailing address
570 NATIONAL HEALTH CARE DR, DAYTONA BEACH, FL 32114-1494
(386) 238-3333
(386) 238-3414
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL9261
FL
311500000X
Alzheimer Center (Dementia Center)
AL9261
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AL9261
FLORIDA LICENSE NUMBER
FL
Enumeration date
07/03/2007
Last updated
09/11/2025
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