Organization
1724 VALENCIA, LLC
Active
Other names
The Sarah House II
Organization subpart
No
Provider details
NPI number
Authorized official
SHOSHANA SHARON (ADMINISTRATOR)
(386) 453-1519
Entity
Organization
Contact information
Practice address
1724 VALENCIA AVE, ORMOND BEACH, FL 32174-7242
(386) 453-1519
Mailing address
1724 VALENCIA AVE, ORMOND BEACH, FL 32174-7242
(386) 453-1519
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
8931
FL
Other
Enumeration date
01/02/2014
Last updated
01/02/2014
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