Organization
MATUSIK ADULT FAMILY CARE HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HANSRAJDAI DEBBIE MATUSIK (OWNER / ADMINISTRATOR)
(386) 774-6493
Entity
Organization
Contact information
Practice address
1580 PETERSON RD, ORANGE CITY, FL 32763-8723
(386) 774-6493
Mailing address
1580 PETERSON RD, ORANGE CITY, FL 32763-8723
(386) 774-6493
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
6906460
FL
Other
Enumeration date
02/04/2014
Last updated
02/04/2014
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