Bedrock Hcs At Daytona Fl LLC
Skilled Nursing Facility in Daytona Beach, FL. Organization (NPI-2).
NPI number1124656202
StatusActive
Last updated in NPPESFeb 7, 2024
Details
- NPI
- 1124656202
- Entity type
- Organization (NPI-2)
- Legal business name
- Bedrock Hcs At Daytona Fl LLC
- Organization subpart
- No
- Enumeration date
- Apr 1, 2020
- Certification date
- Feb 7, 2024
- Last updated
- Feb 7, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 314000000X | Skilled Nursing Facility | – | – | Yes |
Practice location
595 N Williamson BlvdDaytona Beach, FL 32114-7185
Phone 732-328-7499
Mailing address
792 Vine Ave BsmtLakewood, NJ 08701-5340
Phone 347-598-1029
Authorized official
Esther Tillim
Controller
7323287499
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