Organization
HEALTH CENTER OF DAYTONA BEACH, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROSS A. BAIRD NHA (ADMINISTRATOR/OWNER)
(386) 257-6362
Entity
Organization
Contact information
Practice address
550 NATIONAL HEALTH CARE DR, DAYTONA BEACH, FL 32114-1494
(386) 257-6362
(386) 257-1783
Mailing address
550 NATIONAL HEALTH CARE DR, DAYTONA BEACH, FL 32114-1494
(386) 257-6362
(386) 257-1783
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
SNF 1645096
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
022909100
—
FL
01
—
L5U
BLUE CROSS PROVIDER #
FL
Enumeration date
08/26/2005
Last updated
07/09/2008
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