Organization · Type 2 NPI

Deland Geriatric Care, Inc.

Assisted Living Facility · Deland, FL

NPI number 1275969628 Active

Practice location

208 Blue Crystal Drive
Deland, FL 32720

Fax (386) 738-9986

Specialties and licenses

Taxonomy	Code	License
Assisted Living Facility Primary	310400000X	AL8722 (FL)

Assisted Living Facility: 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.

Other assisted living facility providers in Deland

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NPI record

NPI: 1275969628
Entity type: Organization (Type 2)
Issued: Sep 17, 2013
Last updated: Sep 17, 2013
Status: Active

Other names

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The Good Shepards-West of Deland · doing business as

Authorized official

Dr. Ramon Lorenzana Gutierrez, DOM
Director, Resident Care Services/co
(386) 738-9986

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1275969628

Deland Geriatric Care, Inc.'s National Provider Identifier is 1275969628, issued on Sep 17, 2013. The primary taxonomy on file is Assisted Living Facility (310400000X), and the practice location is in Deland, FL. The record was last updated on Sep 17, 2013.