Organization
FIDELITY LIVING LLC GROUP HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. NATACHA LHERISSON (MGR.)
(386) 801-7170
Entity
Organization
Contact information
Practice address
1941 KINGWAY DR, DELTONA, FL 32738-8619
(386) 801-7170
Mailing address
1941 KINGWAY DR, DELTONA, FL 32738-8619
(386) 801-7170
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
03/23/2017
Last updated
03/23/2017
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