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Justina Threadgill
Assisted Living Facility in Daytona Beach, Florida
NPI 1942624366

Justina Threadgill is an Assisted Living Facility based in Daytona Beach, FL. Justina Threadgill practices in Daytona Beach, FL. The NPI Number for Justina Threadgill is 1942624366 and holds a License No. 10287 (Florida).

The current practice location address for Justina Threadgill is 1312 Mardrake Rd, Daytona Beach, FL and can be reached out via phone at 386-257-2162.

Location: 1312 Mardrake Rd, Daytona Beach, FL, 32114-5940
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1942624366
Provider Name
Justina Threadgill
Credential
Provider Entity Type
Individual
Gender
Female
Address
1312 Mardrake Rd, Daytona Beach, FL, 32114-5940
Phone Number
386-257-2162
Fax Number
Provider Enumeration Date
02/05/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1312 Mardrake Rd
City
Daytona Beach
State
Florida
Zip
32114-5940
Phone Number
386-257-2162
Fax Number
person
Provider Business Mailing Address Details
Address
1312 Mardrake Rd
City
Daytona Beach
State
Florida
Zip
32114-5940
Phone Number
386-257-2162
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Assisted Living Facility
Speciality
-
Taxonomy
310400000X
License No.
10287 (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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