1001 Old Tomoka LLC
1001 Old Tomoka LLC is an Assisted Living Facility in Ormond Beach, Florida. Licensed in Florida. Registered with an NPI since 2014.
- Licensed in
- FL
- In the registry since
- 2014
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
1001 Old Tomoka RdOrmond Beach, FL 32174-5979
Phone: (386) 453-1519
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Assisted Living Facility (primary) | Taxonomy 310400000X · Licence 12175 (FL) |
|---|
Record details
| NPI number | 1538580923 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Shoshana Sharon — Administrator · (386) 453-1519 |
| Other names | The Sarah House Iii |
| NPI enumerated | January 2, 2014 |
| Last updated in NPPES | June 10, 2022 |
| Certification date | June 10, 2022 |
| Mailing address | 1001 Old Tomoka Rd, Ormond Beach, FL 32174-5979 |
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