Individual provider · Type 1 NPI
Justina Threadgill
Assisted Living Facility · Daytona Beach, FL
NPI number
1942624366
Active
Practice location
1312 Mardrake Rd
Daytona Beach, FL 32114-5940
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Assisted Living Facility Primary | 310400000X | 10287 (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 Daytona Beach
About NPI 1942624366
Justina Threadgill's National Provider Identifier is 1942624366, issued on Feb 5, 2014. The primary taxonomy on file is Assisted Living Facility (310400000X), and the practice location is in Daytona Beach, FL. The record was last updated on Feb 5, 2014.