THE PLACE AT DAYTONA BEACH, INC.
Assisted Living Facility
Daytona Beach, Florida
Provider NPI: 1437266350
Organization Information:Organization Name: THE PLACE AT DAYTONA BEACH, INC.
Practice Location:
570 NATIONAL HEALTH CARE DR DAYTONA BEACH, FL 32114 US
Tel: 386-238-3333 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Other Provider Identifiers:
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
Practice Location:
570 NATIONAL HEALTH CARE DR DAYTONA BEACH, FL 32114 US
Tel: 386-238-3333 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
Y | 310400000X | Nursing & Custodial Care Facilities Assisted Living Facility | FL |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
UNITED HEALTHCARE | 60-00707 | FL | 01 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin