Organization
QSH/MID FLORIDA, LLC
Active
Other names
Grand Villa of Ormond Beach
Organization subpart
No
Provider details
NPI number
Authorized official
STANLEY BRADING (PRESIDENT)
(404) 888-0168
Entity
Organization
Contact information
Practice address
535 N NOVA RD, ORMOND BEACH, FL 32174-4405
(407) 260-2433
Mailing address
1201 W PEACHTREE ST NW STE 3250, ATLANTA, GA 30309-3470
(404) 888-0168
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
09/18/2018
Last updated
09/18/2018
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