Iris Manor LLC

NPI #1194197707 in Deltona, Florida

Provider Information

NPI Number: 1194197707
Entity Type: Organization
Organization Name: Iris Manor LLC
Primary Specialty: Assisted Living Facility
Enumeration Date: Oct 22, 2015
Last Updated: Oct 22, 2015

Practice Location

Address: 1295 DELTONA BLVD
City: Deltona
State: Florida
ZIP Code: 32725-6346
Phone: (917) 543-7474

Authorized Official

Name: MARY MICHELLE ARSENAULT
Title: ADMINISTRATOR
Phone: (917) 543-7474

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Assisted Living Facility	310400000X	Primary

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