JUSTINA THREADGILL

DAYTONA BEACH, FL
NPI1942624366
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy310400000X Assisted Living Facility
(Licence: FL  10287)
Enumeration Date2014-02-05
Last Update Date2014-02-05
Business Address
-- JUSTINA THREADGILL
1312 MARDRAKE RD
DAYTONA BEACH, FL 32114-5940
Phone number: 386-257-2162
Mailing Address
-- JUSTINA THREADGILL
1312 MARDRAKE RD
DAYTONA BEACH, FL 32114-5940
Phone number: 386-257-2162