Organization
GARDEN MANOR INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TRAVIS N RAMASAMI (OWNER/ADMINISTRATOR)
(386) 677-0402
Entity
Organization
Contact information
Practice address
1562 GARDEN AVE, HOLLY HILL, FL 32117-2110
(386) 677-0402
Mailing address
1562 GARDEN AVE, HOLLY HILL, FL 32117-2110
(386) 677-0402
Taxonomy
Speciality
Code
Description
License number
State
3104A0625X
Assisted Living Facility (Mental Illness)
Primary
AL11547
FL
Other
Enumeration date
02/28/2013
Last updated
02/28/2013
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