Organization
MATUSIK ADULT FAMILY CARE HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DEBBIE HANSRAJDAI MATUSIK (OWNER / OPERATOR)
(386) 774-6493
Entity
Organization
Contact information
Practice address
1580 PETERSON RD, ORANGE CITY, FL 32763-8723
(386) 774-6493
(386) 774-6493
Mailing address
1580 PETERSON RD, ORANGE CITY, FL 32763-8723
(386) 774-6493
(386) 774-6493
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
6906460
FL
Other
Enumeration date
10/02/2013
Last updated
10/02/2013
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