# THE KING'S PALACE LLC

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

## Provider details

- **NPI number:** 1568803690
- **Authorized official:** MRS. MYRNA PERRIER RN (ADMINISTRATOR)
- **Authorized official phone:** (407) 272-5141

## Contact information

- **Practice address:** 2291 ALTON RD, DELTONA, FL 32738-4001
- **Practice address phone:** (386) 218-5767
- **Practice address fax:** (386) 218-3058
- **Mailing address:** 2291 ALTON RD, DELTONA, FL 32738-4001
- **Mailing address phone:** (386) 218-5767
- **Mailing address fax:** (386) 218-3058

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 311ZA0620X | Adult Care Home Facility | — | NULL | — |
| 320600000X | Intellectual and/or Developmental Disabilities Residential Treatment Facility | — | NULL | Yes |
| 372600000X | Adult Companion | — | NULL | — |
| 372600000X | Adult Companion | — | — | — |
| 385H00000X | Respite Care | — | NULL | — |

## Other

- **Enumeration date:** 07/17/2013
- **Last updated:** 07/17/2013