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Organization
JACTO,INC
Active
Organization
JACTO,INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CLAUDETTE SPEAKMAN (PRESIDENT)
(561) 707-8748
Entity
Organization
Contact information
Practice address
3448 TYRINGHAM DR, WEST PALM BEACH, FL 33406-5055
(561) 966-8150
Mailing address
3448 TYRINGHAM DR, WEST PALM BEACH, FL 33406-5055
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
091234
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
689242696
—
FL
Enumeration date
01/21/2011
Last updated
01/21/2011
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