The King's Palace LLC

NPI #1568803690 in Deltona, Florida

Provider Information

NPI Number: 1568803690
Entity Type: Organization
Organization Name: The King's Palace LLC
Primary Specialty: Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Enumeration Date: Jul 17, 2013
Last Updated: Jul 17, 2013

Practice Location

Address: 2291 ALTON RD
City: Deltona
State: Florida
ZIP Code: 32738-4001
Phone: (386) 218-5767

Authorized Official

Name: MRS. MYRNA PERRIER, RN
Title: ADMINISTRATOR
Phone: (407) 272-5141

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Custodial Care Facility - Adult Care Home — Adult Care Home	311ZA0620X
Adult Companion	372600000X
Respite Care	385H00000X
Residential Treatment Facility, Intellectual and/or Developmental Disabilities	320600000X	Primary

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