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1001 Old Tomoka Llc
Assisted Living Facility in Ormond Beach, Florida
NPI 1942630462

1001 Old Tomoka Llc is an Assisted Living Facility based in Ormond Beach, FL. 1001 Old Tomoka Llc practices in Ormond Beach, FL. The NPI Number for 1001 Old Tomoka Llc is 1942630462 and holds a License No. AL12175 (Florida).

The current practice location address for 1001 Old Tomoka Llc is 1001 Old Tomoka Rd, Ormond Beach, FL and can be reached out via phone at 386-453-1519 and via fax at 888-562-7611.

Location: 1001 Old Tomoka Rd, Ormond Beach, FL, 32174-5979
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1942630462
Provider Name
1001 Old Tomoka Llc
Credential
Provider Entity Type
Organization
Address
1001 Old Tomoka Rd, Ormond Beach, FL, 32174-5979
Phone Number
386-453-1519
Fax Number
888-562-7611
Provider Enumeration Date
11/19/2013
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1001 Old Tomoka Rd
City
Ormond Beach
State
Florida
Zip
32174-5979
Phone Number
386-453-1519
Fax Number
888-562-7611
person
Provider Business Mailing Address Details
Address
1001 Old Tomoka Rd
City
Ormond Beach
State
Florida
Zip
32174-5979
Phone Number
386-453-1519
Fax Number
888-562-7611
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Assisted Living Facility
Speciality
-
Taxonomy
310400000X
License No.
AL12175 (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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