OrganizationActive
1001 Old Tomoka LLC
NPI 1942630462 · Assisted Living Facility · Ormond Beach, FL
Provider details
- NPI number
- 1942630462
- Entity type
- Organization
- Primary specialty
- Assisted Living FacilityNursing & Custodial Care Facilities
- Authorized official
- Ofer Sharon, Manager
- License
- AL12175 (FL)
Practice location
1001 Old Tomoka Rd
Ormond Beach, FL 32174-5979
Phone: (386) 453-1519
Fax: (888) 562-7611
Mailing address
1001 Old Tomoka Rd
Ormond Beach, FL 32174-5979
Registry dates
- Enumerated
- 2013-11-19
- Last updated
- 2013-11-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.