Provider Demographics
NPI:1205171337
Name:ARGOSINO-DEGUZMAN CORP.
Entity type:Organization
Organization Name:ARGOSINO-DEGUZMAN CORP.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE-PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MARIA
Authorized Official - Middle Name:G
Authorized Official - Last Name:DEGUZMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:386-283-3300
Mailing Address - Street 1:10 WAINSHIRE PL
Mailing Address - Street 2:
Mailing Address - City:PALM COAST
Mailing Address - State:FL
Mailing Address - Zip Code:32164-7675
Mailing Address - Country:US
Mailing Address - Phone:386-283-3300
Mailing Address - Fax:
Practice Address - Street 1:42 PINE TREE DR
Practice Address - Street 2:
Practice Address - City:PALM COAST
Practice Address - State:FL
Practice Address - Zip Code:32164-4836
Practice Address - Country:US
Practice Address - Phone:386-283-3300
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-11-29
Last Update Date:2012-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAL#9081310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility