# MEDALLION HEALTH CARE SERVICES

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

## Provider details

- **NPI number:** 1780849745
- **Authorized official:** MS. KEONA LATOSHA SLATER (OWNER)
- **Authorized official phone:** (386) 405-4155

## Contact information

- **Practice address:** 308 S. MARTIN LUTHER KING BLVD., STE. 113, DAYTONA BEACH, FL 32114
- **Practice address phone:** (386) 405-4155
- **Mailing address:** 815 KOTTLE CIR S, DAYTONA BEACH, FL 32114-4719
- **Mailing address phone:** (386) 405-4155

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251B00000X | Case Management Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 07/18/2008
- **Last updated:** 07/18/2008