# JOANNS A PLACE OF REFUGE INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1114482767
- **Authorized official:** MRS. CALINDA YVETTE HICKS (CEO)
- **Authorized official phone:** (786) 317-7079

## Contact information

- **Practice address:** 15604 NW 37TH AVE, OPA LOCKA, FL 33054-6323
- **Practice address phone:** (786) 317-7079
- **Mailing address:** 885 NW 213TH LN UNIT 9-201, MIAMI GARDENS, FL 33169-2060
- **Mailing address phone:** (786) 317-7079

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 02/08/2019
- **Last updated:** 02/08/2019