# MATUSIK ADULT FAMILY CARE HOME

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1407283666
- **Authorized official:** MRS. DEBBIE HANSRAJDAI MATUSIK (OWNER / OPERATOR)
- **Authorized official phone:** (386) 774-6493

## Contact information

- **Practice address:** 1580 PETERSON RD, ORANGE CITY, FL 32763-8723
- **Practice address phone:** (386) 774-6493
- **Practice address fax:** (386) 774-6493
- **Mailing address:** 1580 PETERSON RD, ORANGE CITY, FL 32763-8723
- **Mailing address phone:** (386) 774-6493
- **Mailing address fax:** (386) 774-6493

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 171M00000X | Case Manager/Care Coordinator | 6906460 | FL | Yes |

## Other

- **Enumeration date:** 10/02/2013
- **Last updated:** 10/02/2013