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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JUSTINA THREADGILL

Active Sole Proprietor

JUSTINA THREADGILL is a Assisted Living Facility healthcare provider located in DAYTONA BEACH, Florida. NPI 1942624366 is currently active in the NPPES registry. Verify at CMS.

Assisted Living Facility · DAYTONA BEACH, FL

Registration Details

NPI Number
1942624366
Provider Type
Individual
Gender
Female
NPI Issued
Feb 5, 2014 (12.532695134451 yrs)
Last Updated
Feb 5, 2014
License
10287 (FL)
Sole Proprietor
Yes

Practice Information

Address
1312 MARDRAKE RD
DAYTONA BEACH, FL, 321145940
Browse FL providers · Browse ZIP 32114
Phone
3862572162
Primary Specialty
Assisted Living Facility
310400000X

Other Assisted Living Facility Providers in DAYTONA BEACH, FL

Name Credential NPI
ISABELLE BERBER 1275957276
EDITHA IGNACIO 1912323056
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.