Dixie Oak Manor LLC
NPI #1124451687 in Vero Beach, Florida
Provider Information
- NPI Number
- 1124451687
- Entity Type
- Organization
- Organization Name
- Dixie Oak Manor LLC
- Primary Specialty
- Assisted Living Facility
- Enumeration Date
- Aug 19, 2013
- Last Updated
- Aug 19, 2013
Practice Location
- Address
- 6410 OLD DIXIE HWY
- City
- Vero Beach
- State
- Florida
- ZIP Code
- 32967-5909
- Phone
- (772) 564-6363
Authorized Official
- Name
- MR. SCOTT FUNNELL
- Title
- OWNER/ADMINISTRATOR
- Phone
- (772) 564-9393
Specialties & Taxonomy Codes
| Specialty |
|---|
| Assisted Living Facility |
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