Organization
1001 OLD TOMOKA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. OFER SHARON (MANAGER)
(386) 453-1519
Entity
Organization
Contact information
Practice address
1001 OLD TOMOKA RD, ORMOND BEACH, FL 32174-5979
(386) 453-1519
(888) 562-7611
Mailing address
1001 OLD TOMOKA RD, ORMOND BEACH, FL 32174-5979
(386) 453-1519
(888) 562-7611
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL12175
FL
Other
Enumeration date
11/19/2013
Last updated
11/19/2013
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