1001 OLD TOMOKA LLC
Nursing at Old Tomoka Rd, Ormond Beach, FL

License number
Florida AL12175
Category
Nursing
Type
Assisted Living Facility
Owner
Name: MR. OFER SHARON
Title: MANAGER
Phone: (386) 453-1519
Address
Address
1001 Old Tomoka Rd, Ormond Beach, FL 32174
National Provider ID: 1942630462
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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1001 OLD TOMOKA LLC

Ormond Beach, FL

Status:
Inactive
Inactive reason:
REINSTATEMENT
Registration:
Aug 18, 2010
Inactive since:
Oct 1, 2014
Addresses:
1001 Old Tomoka Rd, Ormond Beach, FL 32174 (Physical)
8 Curved Crk Way, Ormond Beach, FL 32174 (Mailing)
1725 Palmer Dr, Ormond Beach, FL 32174
State ID:
L10000086672
Business type:
Florida Limited Liability Company
Managers:
Ofer Sharon (Manager), 8 Curved Crk Way, Ormond Beach, FL 32174 (Physical),Shoshana Sharon (Manager), 8 Curved Crk Way, Ormond Beach, FL 32174 (Physical)
Agent:
Ofer, Sharon,8 Curved Crk Way, Ormond Beach, FL 32174 (Physical)
EIN:
273265116

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