Individual
ALYSSA J KRONE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MEDICAL FOSTER HOME
Contact information
Practice address
1303 S SHANGRI LA DR, DAYTONA BEACH, FL 32119-1502
(386) 690-8441
Mailing address
1303 S SHANGRI LA DR, DAYTONA BEACH, FL 32119-1502
(386) 690-8441
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
—
—
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
015337600
—
FL
Enumeration date
12/20/2018
Last updated
01/25/2019
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