Organization
STARLIGHT ASSISTED LINING AT DELAND
Active
Other names
Starlight ALF At Deland
Organization subpart
No
Provider details
NPI number
Authorized official
RUNELL FITZGERALD GORDON (ADMINISTRATOR)
(720) 998-6303
Entity
Organization
Contact information
Practice address
1180 JACKSON RANCH RD, DELAND, FL 32724-7900
(386) 740-9117
(386) 624-6002
Mailing address
1180 JACKSON RANCH RD, DELAND, FL 32724-7900
(386) 740-9117
(386) 624-6002
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
02/20/2023
Last updated
02/20/2023
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