Organization
ONE SP INVESTMENTS LLC
Active
Other names
Ocean View Manor
Organization subpart
No
Provider details
NPI number
Authorized official
ANKUR SHAH (DIRECTOR)
(321) 432-0675
Entity
Organization
Contact information
Practice address
624 S ATLANTIC AVE, DAYTONA BEACH, FL 32118-4510
(386) 258-5116
(386) 258-6147
Mailing address
624 S ATLANTIC AVE, DAYTONA BEACH, FL 32118-4510
(386) 258-5116
(386) 258-6147
Taxonomy
Speciality
Code
Description
License number
State
3104A0625X
Assisted Living Facility (Mental Illness)
Primary
—
—
323P00000X
Psychiatric Residential Treatment Facility
—
—
Other
Enumeration date
01/11/2021
Last updated
01/11/2021
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