# MATUSIK ADULT FAMILY CARE HOME

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

## Provider details

- **NPI number:** 1467876995
- **Authorized official:** HANSRAJDAI DEBBIE MATUSIK (OWNER / ADMINISTRATOR)
- **Authorized official phone:** (386) 774-6493

## Contact information

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

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 311ZA0620X | Adult Care Home Facility | 6906460 | FL | Yes |

## Other

- **Enumeration date:** 02/04/2014
- **Last updated:** 02/04/2014