Indigo Manor Assisted Living

LBN: Alliance Foundation Of Florida Inc
Indigo Manor Assisted Living is an health care organization with primary practice located at 595 N Williamson Blvd , Daytona Beach FL 32114-7185. 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. Alliance Foundation Of Florida Inc can be contacted via phone (386) 257-4400, or through Kernon, Randolph Lee via phone (386) 547-4686.

Contact Information

Primary practice address
595 N Williamson Blvd Daytona Beach FL 32114-7185
Phone: (386) 257-4400
Fax: (386) 257-4372
Website:
Map and Directions
Authorized official contact:
Name: Kernon, Randolph Lee NHA
Phone: (386) 547-4686

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Assisted Living Facility 310400000X AL5400 Florida

Profile Details

NPI number 1952720294
LBN Legal business name Alliance Foundation Of Florida Inc
DBA Doing business as Indigo Manor Assisted Living
Authorized official Kernon, Randolph Lee NHA
Entity Organization
Organization subpart 1 Yes
Enumeration date Apr 15th, 2014
Last updated Apr 15th, 2014 - about 10 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 1952720294 NPPES
Florida Other AL5400 STATE OF FLORIDA AHCA

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