D'S ASSISTED LIVING OF DELTONA
Nursing at Saxon Blvd, Deltona, FL

License number
Florida AL12729
Category
Nursing
Type
Assisted Living Facility
Owner
Name: MR. VICTOR MARIO MARTINEZ
Title: ADMINISTRADOR
Phone: (386) 320-8940
Address
Address
1812 Saxon Blvd, Deltona, FL 32725
National Provider ID: 1811357205
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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D'S ASSISTED LIVING OF DELTONA LLC

Deltona, FL  -  De Bary, FL

Doing business as:
D'S ASSISTED LIVING FACILITY, LLC
Registration:
Feb 23, 2015
Addresses:
1812 Saxon Blvd, Deltona, FL 32725 (Physical)
104 Elissar Dr, Debary, FL 32713 (Mailing)
State ID:
L13000004855
Business type:
Florida Limited Liability Company
S:
Victor M Martinez (Manager), 1812 Saxon Blvd, Deltona, FL 32725 (Physical)
104 Elissar Dr, Debary, FL 32713 (Physical),Lina G Martinez (President, Manager), 1812 Saxon Blvd, Deltona, FL 32725 (Physical)
104 Elissar Dr, Debary, FL 32713 (Physical),Maurice Fortoul, 13961 SW 82, Miami, FL 33183 (Physical)
Agent:
Fortoul, Maurice,104 Elissar Dr, Debary, FL 32713 (Physical)
EIN:
APPLIED FOR

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