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Editha Ignacio
Assisted Living Facility in Daytona Beach, Florida
NPI 1912323056

Editha Ignacio is an Assisted Living Facility based in Daytona Beach, FL. Editha Ignacio practices in Daytona Beach, FL. The NPI Number for Editha Ignacio is 1912323056 and holds a License No. 11691 (Florida).

The current practice location address for Editha Ignacio is 1636 E Shangri La Dr, Daytona Beach, FL and can be reached out via phone at 386-767-8048.

Location: 1636 E Shangri La Dr, Daytona Beach, FL, 32119-1520
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1912323056
Provider Name
Editha Ignacio
Credential
Provider Entity Type
Individual
Gender
Female
Address
1636 E Shangri La Dr, Daytona Beach, FL, 32119-1520
Phone Number
386-767-8048
Fax Number
Provider Enumeration Date
03/13/2014
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
001574900 05 FL
institution
Provider Business Practice Location Address Details
Address
1636 E Shangri La Dr
City
Daytona Beach
State
Florida
Zip
32119-1520
Phone Number
386-767-8048
Fax Number
person
Provider Business Mailing Address Details
Address
1636 E Shangri La Dr
City
Daytona Beach
State
Florida
Zip
32119-1520
Phone Number
386-767-8048
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Assisted Living Facility
Speciality
-
Taxonomy
310400000X
License No.
11691 (Florida)
Definition
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.
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