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Organization
RESIDENTIAL SERVICES OF VOLUSIA COUNTY
Active
Organization
RESIDENTIAL SERVICES OF VOLUSIA COUNTY
Active
Other names
RSVC -Dixie Lodge
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WALKER SCOTT RICHARDSON JR. M. ED. (ADMINISTRATOR)
(386) 734-4830
Entity
Organization
Contact information
Practice address
647 S WOODLAND BLVD, DELAND, FL 32720-5810
(386) 734-4830
(386) 734-4536
Mailing address
647 S WOODLAND BLVD, DELAND, FL 32720-5810
(386) 734-4830
(386) 734-4536
Taxonomy
Speciality
Code
Description
License number
State
3104A0625X
Assisted Living Facility (Mental Illness)
Primary
AL1077
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
142116600
—
FL
Enumeration date
04/21/2009
Last updated
04/21/2009
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