Organization
BEDROCK HCS AT DAYTONA FL LLC
Active
Other names
Indigo Palms at the Manor
Organization subpart
No
Provider details
NPI number
Authorized official
ESTHER TILLIM (BOOKEEPER)
(732) 328-7499
Entity
Organization
Contact information
Practice address
595 N WILLIAMSON BLVD, DAYTONA BEACH, FL 32114-7185
(386) 257-4400
Mailing address
1776 AVENUE OF THE STATES STE 302, LAKEWOOD, NJ 08701-4592
(732) 328-7499
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
10/05/2021
Last updated
02/06/2024
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