Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Justina Threadgill

Individual provider Assisted Living Facility · NPI 1942624366

Justina Threadgill is registered under Assisted Living Facility in Daytona Beach, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2014
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Practice location Address checks out

1312 Mardrake Rd
Daytona Beach, FL 32114-5940 Not confirmed with CMS for 12 years — call before visiting
Phone: (386) 257-2162
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Assisted Living Facility (primary) Taxonomy 310400000X · Licence 10287 (FL)

Record details

NPI number1942624366
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedFebruary 5, 2014
Last updated in NPPESFebruary 5, 2014

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