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VERITAS INCARE LLC NPI 1073924296


NPI Information

NPI: 1073924296
Provider Name: VERITAS INCARE, LLC

Doing Business As: FOREST LAKE MANOR

Classification: Assisted Living Facility - 310400000X
Entity Type: Organization
Address:
252 FOREST LAKE BLVD
DAYTONA BEACH, FL
ZIP 32119
Phone: (386) 760-7174
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VERITAS INCARE, LLC is an assisted living facility in Daytona Beach, FL. The provider is a facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. VERITAS INCARE, LLC NPI is 1073924296. The provider is registered as an organization entity type.
The provider Is Doing Business As Forest Lake Manor.

The provider's business location address is:

252 FOREST LAKE BLVD
DAYTONA BEACH, FL
ZIP 32119-106
Phone: (386) 760-7174
Fax: (386) 760-1001

The provider's authorized official is James Christopher Landers .
The authorized official title is President/ceo and has the following contact phone number (662) 895-1801.

The enumeration date for this NPI number is 5/9/2014 and was last updated on 5/9/2014.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1310400000XAssisted Living FacilityAL8869FLORIDAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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