Organization
ACV COMMUNITY SERVICES, LLC
Active
Other names
Dacier Manor
Organization subpart
No
Provider details
NPI number
Authorized official
CRAIG A. CARTER (PRESIDENT/CEO)
(386) 658-5500
Entity
Organization
Contact information
Practice address
10676 MARVIN E. JONES BLVD, LIVE OAK, FL 32060
(386) 658-5552
(386) 658-5535
Mailing address
PO BOX 4675, DOWLING PARK, FL 32064-1507
(386) 658-5450
(386) 658-5111
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
11911091
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
141244200
—
FL
05
—
650757301
—
FL
Enumeration date
12/19/2006
Last updated
10/06/2008
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