Heritage Waterside
NPI #1114501574 in Daytona Beach Shores, Florida
Provider Information
- NPI Number
- 1114501574
- Entity Type
- Organization
- Organization Name
- Heritage Waterside
- Primary Specialty
- Assisted Living Facility
- Enumeration Date
- May 11, 2021
- Last Updated
- May 11, 2021
Practice Location
- Address
- 3704 CARDINAL BLVD
- State
- Florida
- ZIP Code
- 32118-7301
- Phone
- (386) 256-2015
Authorized Official
- Name
- MARK NAGRANI, MD
- Title
- OWNER
- Phone
- (386) 256-2015
Specialties & Taxonomy Codes
| Specialty |
|---|
| Assisted Living Facility |
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