Justina Threadgill
Justina Threadgill is an Assisted Living Facility in Daytona Beach, Florida. Practices as a sole proprietor. Licensed in Florida.
- Licensed in
- FL
- In the registry since
- 2014
Practice location Address checks out
1312 Mardrake RdDaytona Beach, FL 32114-5940
Phone: (386) 257-2162
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Specialties & licences
| Assisted Living Facility (primary) | Taxonomy 310400000X · Licence 10287 (FL) |
|---|
Record details
| NPI number | 1942624366 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | February 5, 2014 |
| Last updated in NPPES | February 5, 2014 |
| Mailing address | 1312 Mardrake Rd, Daytona Beach, FL 32114-5940 |
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