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Organization

1001 OLD TOMOKA LLC

Active
Other names
The Sarah House III
Organization subpart
No

Provider details

NPI number
Authorized official
SHOSHANA SHARON (ADMINISTRATOR)
(386) 453-1519
Entity
Organization

Contact information

Practice address
1001 OLD TOMOKA RD, ORMOND BEACH, FL 32174-5979
(386) 453-1519
Mailing address
1001 OLD TOMOKA RD, ORMOND BEACH, FL 32174-5979
(386) 453-1519

Taxonomy

Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
12175
FL

Other

Enumeration date
01/02/2014
Last updated
06/10/2022
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