Organization
DELTONA ALF MANAGEMENT
Active
Other names
Gold Choice Deltona
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DERICK WAYNE DEETER (MANAGER)
(407) 202-0046
Entity
Organization
Contact information
Practice address
2306 N NORMANDY BLVD, DELTONA, FL 32725
(386) 259-3860
(386) 259-3872
Mailing address
2306 N. NORMANDY BLVD, DELTONA, FL 32725
(386) 259-3860
(386) 259-3872
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL13087
FL
310400000X
Assisted Living Facility
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
022682200
—
FL
Enumeration date
11/16/2016
Last updated
12/20/2017
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