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Organization

DELAND GERIATRIC CARE, INC.

Active
Other names
The Good Shepards-West of deLand
Organization subpart
No

Provider details

NPI number
Authorized official
DR. RAMON LORENZANA GUTIERREZ DOM (DIRECTOR, RESIDENT CARE SERVICES/CO)
(386) 738-9986
Entity
Organization

Contact information

Practice address
208 BLUE CRYSTAL DRIVE, DELAND, FL 32720
(386) 679-3375
(386) 738-9986
Mailing address
208 BLUE CRYSTAL DRIVE, DELAND, FL 32720
(386) 679-3375
(386) 738-9986

Taxonomy

Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL8722
FL

Other

Enumeration date
09/17/2013
Last updated
09/17/2013
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