Organization
CAPSTONE HEALTHCARE,L.L.C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ROSHANDA K. IVEY APRN, FNP-C (CEO)
(386) 334-0095
Entity
Organization
Contact information
Practice address
1001 GREAT OAKS DR, DAYTONA BEACH, FL 32117-3124
(386) 492-5635
(386) 246-7418
Mailing address
1001 GREAT OAKS DR, DAYTONA BEACH, FL 32117-3124
(386) 492-5635
(386) 246-7418
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
10/20/2021
Last updated
10/20/2021
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