Organization
SEBARIANA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ANA I ROSA-RANOLPH M.S., R.D., L.D. (ADMINISTARTOR)
(386) 453-4827
Entity
Organization
Contact information
Practice address
1515 COVERED BRIDGE DR, DELAND, FL 32724-7990
(386) 453-4827
(386) 738-0056
Mailing address
1515 COVERED BRIDGE DR, DELAND, FL 32724-7990
(386) 453-4827
(386) 738-0056
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
—
—
Other
Enumeration date
05/03/2010
Last updated
09/19/2024
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