Healthcare Provider Details

I. General information

NPI: 1386578771
Provider Name (Legal Business Name): EXALT HEALTH REHABILITATION HOSPITAL DAYTONA LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/10/2026
Last Update Date: 06/10/2026
Certification Date: 06/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

770 N CLYDE MORRIS BLVD
DAYTONA BEACH FL
32114-1604
US

IV. Provider business mailing address

2306 GUTHRIE RD STE 180
GARLAND TX
75043-5952
US

V. Phone/Fax

Practice location:
  • Phone: 386-349-7501
  • Fax: 386-349-7502
Mailing address:
  • Phone: 972-414-6062
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code283X00000X
TaxonomyRehabilitation Hospital
License Number
License Number State

VIII. Authorized Official

Name: CHAD DEARDORFF
Title or Position: CFO
Credential:
Phone: 972-414-6062