Country Manor Assisted Living & Retirement Home, Llc

NPI 1104247717 - Assisted Living Facility - 3104A0625X

NPI Details
NPI 1104247717
Enumeration Date 12/27/2013
Last Updated 12/27/2013
Entity Type Healthcare Provider
Active Over 2 years ago
Authorized Information
Name ARNULFO SALGADO ARNULFO
Position ADMINISTRATOR
Phone (386) 265-5935
Fax (386) 265-5937
Practice Location
1152 OLD HAMMOCK RD
PORT ORANGE FL, 32129-5016, US
Phone (386) 265-5935
Fax (386) 265-5937
Business Location
1152 OLD HAMMOCK RD
PORT ORANGE FL, 32129-5016, US
Phone (386) 265-5935
Fax (386) 265-5937
Toxanomy
Taxonomy Code 3104A0625X
License State Florida
License Number 12025
Remove 1104247717 NPI Number
 

According to our database, Country Manor Assisted Living & Retirement Home, Llc NPI is 1104247717, taxonomy code is 3104A0625X and license number is 12025, license state is located at Florida. Country Manor Assisted Living & Retirement Home, Llc physically located at 1152 Old Hammock Rd, Port Orange FL, 32129-5016. NPI Number 1033115704 has the healthcare provider type.

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1104247717 NPI number is provided on an as is basis without warranty of any kind. 1104247717 is maintained by the National Plan & Provider Enumeration System. The contents of Country Manor Assisted Living & Retirement Home, Llc are for informational purposes only.