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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

COUNTRY MANOR ASSISTED LIVING & RETIREMENT HOME, LLC

Active Organization

COUNTRY MANOR ASSISTED LIVING & RETIREMENT HOME, LLC is a Rural Ambulance organization located in PORT ORANGE, Florida. NPI 1104247717 is currently active in the NPPES registry. Verify at CMS.

Rural Ambulance · PORT ORANGE, FL

Registration Details

NPI Number
1104247717
Provider Type
Organization
NPI Issued
Dec 27, 2013 (12.661504660768 yrs)
Last Updated
Dec 27, 2013
License
12025 (FL)

Practice Information

Address
1152 OLD HAMMOCK RD
PORT ORANGE, FL, 321295016
Browse FL providers · Browse ZIP 32129
Phone
3862655935
Fax
3862655937
Primary Specialty
Rural Ambulance
3104A0625X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.