Organization
SIXMA SENIORS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIANE V HOF (OWNER)
(386) 789-5991
Entity
Organization
Contact information
Practice address
2766 SIXMA RD, DELTONA, FL 32738-9575
(386) 789-5991
Mailing address
2766 SIXMA RD, DELTONA, FL 32738-9575
(386) 789-5991
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
9611
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
678003200
—
FL
Enumeration date
11/10/2009
Last updated
11/10/2009
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