Dacier Manor

LBN: Acv Community Services, Llc
Dacier Manor is an health care organization with primary practice located at 10676 Marvin E. Jones Blvd , Live Oak FL 32060. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Assisted Living Facility, which is considered as the primary health care specialty. Acv Community Services, Llc can be contacted via phone (386) 658-5552, or through Carter, Craig A. via phone (386) 658-5500.

Contact Information

Primary practice address
10676 Marvin E. Jones Blvd Live Oak FL 32060
Phone: (386) 658-5552
Fax: (386) 658-5535
Website:
Map and Directions
Authorized official contact:
Name: Carter, Craig A.
Phone: (386) 658-5500

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Assisted Living Facility 310400000X 11911091 Florida

Profile Details

NPI number 1740344563
LBN Legal business name Acv Community Services, Llc
DBA Doing business as Dacier Manor
Authorized official Carter, Craig A.
Entity Organization
Organization subpart 1 No
Enumeration date Dec 19th, 2006
Last updated Oct 6th, 2008 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1740344563 NPPES
Florida MEDICAID 650757301
Florida MEDICAID 141244200

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