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MS. JOY DEBUSK OTA

>> Skilled Nursing Facility >> Nursing & Custodial Care Facilities

Registrant NPI Number: 1043465479

Individual Registrant:
MS. JOY  DEBUSK OTA
Gender: F
Sole Proprietor

Location and contact information for practice:
7201 GREENBORO DR  WEST MELBOURNE, FL 32904-1698 US
Tel: 321-821-6736  Fax: --

Contact information for business:
2674 TUSCARORA CT  WEST MELBOURNE, FL 32904-8091 US
Tel: 321-729-6580  Fax: --

Registration Information:
NPI: 1043465479
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y314000000XNursing & Custodial Care Facilities
Skilled Nursing Facility
FLOTA 10480

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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