Starlight Assisted Lining at Deland

NPI #1578261541 in Deland, Florida

Provider Information

NPI Number: 1578261541
Entity Type: Organization
Organization Name: Starlight Assisted Lining at Deland
Primary Specialty: Assisted Living Facility
Enumeration Date: Feb 20, 2023
Last Updated: Feb 20, 2023

Practice Location

Address: 1180 JACKSON RANCH RD
City: Deland
State: Florida
ZIP Code: 32724-7900
Phone: (386) 740-9117

Authorized Official

Name: RUNELL FITZGERALD GORDON
Title: ADMINISTRATOR
Phone: (720) 998-6303

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Assisted Living Facility	310400000X	Primary

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