Ignacio, Editha
Ignacio, Editha is an sole proprietor health care provider with primary practice located at 1636 E Shangri La Dr , Daytona Beach FL 32119-1520. She recently has only one registered license in Nursing & Custodial Care Facilities / Assisted Living Facility, which is considered as her primary health care specialty. Ignacio, Editha can be contacted via phone (386) 767-8048.Contact Information
Primary practice address
1636 E Shangri La Dr
Daytona Beach FL 32119-1520
Phone: (386) 767-8048
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing & Custodial Care Facilities / Assisted Living Facility | 310400000X | 11691 | Florida |
Profile Details
| NPI number | 1912323056 |
|---|---|
| LBN Legal business name | Ignacio, Editha |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 13th, 2014 |
| Last updated | Oct 27th, 2025 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1912323056 | NPPES |
| Florida | MEDICAID | 001574900 |
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