- 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
- 1942630462
- Authorized Official
- OFER SHARON (Manager)
- Enumeration Date
- 2013-11-19