- Facility Name
- 1001 OLD TOMOKA LLC
- Type / Classification
- Assisted Living Facility
- Address
- 1001 OLD TOMOKA RD, ORMOND BEACH, FL 32174
- Phone Number
- (386) 453-1519
- NPI Number
- 1538580923
- Authorized Official
- SHOSHANA SHARON (Administrator)
- Enumeration Date
- 2014-01-02