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Selah - Forest Lake Manor, Llc
Assisted Living Facility in Daytona Beach, Florida
NPI 1316281215

Selah - Forest Lake Manor, Llc is an Assisted Living Facility based in Daytona Beach, FL. Selah - Forest Lake Manor, Llc practices in Daytona Beach, FL. The NPI Number for Selah - Forest Lake Manor, Llc is 1316281215 and holds a License No. AL8869 (Florida).

The current practice location address for Selah - Forest Lake Manor, Llc is 252 Forest Lake Blvd, Daytona Beach, FL and can be reached out via phone at 386-760-7174 and via fax at 386-760-7812.

Location: 252 Forest Lake Blvd, Daytona Beach, FL, 32119-8106
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1316281215
Provider Name
Selah - Forest Lake Manor, Llc
Credential
Provider Entity Type
Organization
Address
252 Forest Lake Blvd, Daytona Beach, FL, 32119-8106
Phone Number
386-760-7174
Fax Number
386-760-7812
Provider Enumeration Date
11/15/2012
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
003453400 05 FL
institution
Provider Business Practice Location Address Details
Address
252 Forest Lake Blvd
City
Daytona Beach
State
Florida
Zip
32119-8106
Phone Number
386-760-7174
Fax Number
386-760-7812
person
Provider Business Mailing Address Details
Address
252 Forest Lake Blvd
City
Daytona Beach
State
Florida
Zip
32119-8106
Phone Number
386-760-7174
Fax Number
386-760-7812
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Assisted Living Facility
Speciality
-
Taxonomy
310400000X
License No.
AL8869 (Florida)
Definition
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.
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