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 2013.
- Licensed in
- FL
- In the registry since
- 2013
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
Fax: (888) 562-7611
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 AL12175 (FL) |
|---|
Record details
| NPI number | 1942630462 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Ofer Sharon — Manager · (386) 453-1519 |
| NPI enumerated | November 19, 2013 |
| Last updated in NPPES | November 19, 2013 |
| Mailing address | 1001 Old Tomoka Rd, Ormond Beach, FL 32174-5979 |
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