Organization
IHS ACQUISITION NO 103 INC
Active
Other names
Horizon Healthcare Center at Daytona
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TIM TRYBUS (CFO)
(443) 539-2354
Entity
Organization
Contact information
Practice address
1350 S NOVA RD, DAYTONA BEACH, FL 32114-5812
(386) 258-5544
(386) 255-5623
Mailing address
1350 S NOVA RD, DAYTONA BEACH, FL 32114-5812
(386) 258-5544
(386) 255-5623
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL6110
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
223905
—
FL
Enumeration date
11/16/2006
Last updated
11/13/2007
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