Country Manor Assisted Living & Retirement Home, LLC

Organization Active
NPI 1104247717
Assisted Living Facility (Mental Illness) Port Orange, FL

Country Manor Assisted Living & Retirement Home, LLC holds NPI 1104247717, with a primary taxonomy of assisted living facility (mental illness) and a practice location in Port Orange, FL. The number was issued on December 27, 2013 and the NPPES record was last updated on December 27, 2013.

This record hasn't been updated in NPPES since 2013. Details may be out of date.

Taxonomies and licenses

TaxonomyCodeLicense
Assisted Living Facility (Mental Illness) Primary 3104A0625X 12025 (FL)

Practice location

1152 Old Hammock Rd
Port Orange, FL 32129-5016
Phone: (386) 265-5935

Local context

Active NPPES records list 6 providers with assisted living facility (mental illness) as the primary taxonomy within 25 miles of this practice location's ZIP code, 4 of them within 10 miles.

The same primary taxonomy is listed by 345 in Florida and 1,603 nationwide.

These are counts from NPPES records, not a ranking or recommendation. Distances are measured between ZIP code centers, not street addresses.

Record history

Status
Active
NPI issued
Last updated in NPPES

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NPPES data as of · Source: CMS NPPES

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