Organization
DELAND MANOR ASSISTED LIVING CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DENNIS FABIAN JAVIER (ADMINISTRATOR)
(407) 453-6541
Entity
Organization
Contact information
Practice address
245 S. AMELIA AVE, DELAND, FL 32724
(386) 624-7777
(386) 279-7341
Mailing address
245 S AMELIA AVE, DELAND, FL 32724-5913
(386) 624-7777
(386) 279-7341
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL12944
FL
Other
Enumeration date
09/21/2017
Last updated
07/21/2022
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