Florida Department Of Veterans Affairs

NPI 1174515654 - Skilled Nursing Facility - 314000000X

NPI Details
NPI 1174515654
Enumeration Date 08/19/2005
Last Updated 08/27/2008
Entity Type Healthcare Provider
Active Over 11 years ago
Authorized Information
Name CLAUDIA RENEE CLAUDIA
Position PROGRAM DIRECTOR
Phone (386) 274-3460
Fax (386) 274-3487
Practice Location
1920 MASON AVE
DAYTONA BEACH FL, 32117-5103, US
Phone (386) 274-3460
Fax (386) 274-3487
Business Location
1920 MASON AVE
DAYTONA BEACH FL, 32117-5103, US
Phone (386) 274-3460
Fax (386) 274-3487
Toxanomy
Taxonomy Code 314000000X
License State Florida
License Number SNF1143095
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According to our database, Florida Department Of Veterans Affairs NPI is 1174515654, taxonomy code is 314000000X and license number is SNF1143095, license state is located at Florida. Florida Department Of Veterans Affairs physically located at 1920 Mason Ave, Daytona Beach FL, 32117-5103. NPI Number 1033115704 has the healthcare provider type.

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1174515654 NPI number is provided on an as is basis without warranty of any kind. 1174515654 is maintained by the National Plan & Provider Enumeration System. The contents of Florida Department Of Veterans Affairs are for informational purposes only.