Organization
IHS ACQUISITION NO 103 INC
Active
Other names
Horizon Healthcare Center at Daytona
Organization subpart
No
Provider details
NPI number
Authorized official
TIMOTHY J TRYBUS (CFO)
(443) 539-2354
Entity
Organization
Contact information
Practice address
1350 S NOVA RD, DAYTONA BEACH, FL 32114-5812
(386) 258-5544
(386) 255-5623
Mailing address
1350 S NOVA RD, DAYTONA BEACH, FL 32114-5812
(386) 258-5544
(386) 255-5623
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
SNF1164095
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
223905
—
FL
Enumeration date
12/09/2005
Last updated
11/02/2007
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