Threadgill, Justina

Threadgill, Justina is an sole proprietor health care provider with primary practice located at 1312 Mardrake Rd , Daytona Beach FL 32114-5940. She recently has only one registered license in Nursing & Custodial Care Facilities / Assisted Living Facility, which is considered as her primary health care specialty. Threadgill, Justina can be contacted via phone (386) 257-2162.

Contact Information

Primary practice address
1312 Mardrake Rd Daytona Beach FL 32114-5940
Phone: (386) 257-2162
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Assisted Living Facility 310400000X 10287 Florida

Profile Details

NPI number 1942624366
LBN Legal business name Threadgill, Justina
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 5th, 2014
Last updated Feb 5th, 2014 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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