Country Manor Assisted Living & Retirement Home, Llc

LBN: Country Manor Assisted Living & Retirement Home, Llc
Country Manor Assisted Living & Retirement Home, Llc is an health care organization with primary practice located at 1152 Old Hammock Rd , Port Orange FL 32129-5016. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Assisted Living, Mental Illness, which is considered as the primary health care specialty. Country Manor Assisted Living & Retirement Home, Llc can be contacted via phone (386) 265-5935, or through Simondac, Arnulfo Salgado via phone (386) 589-6252.

Contact Information

Primary practice address
1152 Old Hammock Rd Port Orange FL 32129-5016
Phone: (386) 265-5935
Fax: (386) 265-5937
Website:
Map and Directions
Authorized official contact:
Name: Simondac, Arnulfo Salgado
Phone: (386) 589-6252

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Assisted Living, Mental Illness 3104A0625X 12025 Florida

Profile Details

NPI number 1104247717
LBN Legal business name Country Manor Assisted Living & Retirement Home, Llc
DBA Doing business as
Authorized official Simondac, Arnulfo Salgado
Entity Organization
Organization subpart 1 No
Enumeration date Dec 27th, 2013
Last updated Dec 27th, 2013 - about 12 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.

Request for update

Popular Providers