MEDICARE: ARGOSINO-DEGUZMAN CORP.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	310400000X	Assisted Living Facility	AL#9081	FL

General Provider Information

NPI Number	:	1205171337
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ARGOSINO-DEGUZMAN CORP.

Provider Business Mailing Address
First Line	:	10 WAINSHIRE PL
Second Line	:
City	:	PALM COAST
State	:	FL
Zip	:	32164-7675
Country	:	US
Telephone Number	:	386-283-3300
Fax Number	:

Provider Business Practice Location Address
First Line	:	42 PINE TREE DR
Second Line	:
City	:	PALM COAST
State	:	FL
Zip	:	32164-4836
Country	:	US
Telephone Number	:	386-283-3300
Fax Number	:

Authorized Official
Title or Position	:	VICE-PRESIDENT
Name	:	MARIA G DEGUZMAN
Credential	:
Telephone Number	:	386-283-3300

Provider Enumeration Date	:	11/29/2012
Last Update Date	:	11/29/2012

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Directions to “ARGOSINO-DEGUZMAN CORP. ” Practice Location

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