Country Manor Assisted Living & Retirement Home, LLC
Country Manor Assisted Living & Retirement Home, LLC is an Assisted Living Facility (Mental Illness) in Port Orange, 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
1152 Old Hammock RdPort Orange, FL 32129-5016
Phone: (386) 265-5935
Fax: (386) 265-5937
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 (Mental Illness) (primary) | Taxonomy 3104A0625X · Licence 12025 (FL) |
|---|
Record details
| NPI number | 1104247717 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Arnulfo Simondac — Administrator · (386) 589-6252 |
| NPI enumerated | December 27, 2013 |
| Last updated in NPPES | December 27, 2013 |
| Mailing address | 1152 Old Hammock Rd, Port Orange, FL 32129-5016 |