OrganizationActive
1001 Old Tomoka LLC
NPI 1538580923 · Assisted Living Facility · Ormond Beach, FL
Provider details
- NPI number
- 1538580923
- Entity type
- Organization
- Primary specialty
- Assisted Living FacilityNursing & Custodial Care Facilities
- Authorized official
- Shoshana Sharon, Administrator
- License
- 12175 (FL)
Practice location
1001 Old Tomoka Rd
Ormond Beach, FL 32174-5979
Phone: (386) 453-1519
Mailing address
1001 Old Tomoka Rd
Ormond Beach, FL 32174-5979
Registry dates
- Enumerated
- 2014-01-02
- Last updated
- 2022-06-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.