# JOHNNYBURNELL LLC

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

## Provider details

- **NPI number:** 1184369779
- **Authorized official:** MR. JOHN WYCHE (OWNER)
- **Authorized official phone:** (305) 300-1677

## Contact information

- **Practice address:** 18100 SW 70TH PL, SOUTHWEST RANCHES, FL 33331-1834
- **Practice address phone:** (305) 300-1677
- **Mailing address:** 18100 SW 70TH PL, SOUTHWEST RANCHES, FL 33331-1834
- **Mailing address phone:** (305) 300-1677

## Taxonomy

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

## Other

- **Enumeration date:** 04/28/2022
- **Last updated:** 04/28/2022