Individual
MRS. JAHNEA SCURTO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
130 DEL MUNDO ST, PALM BAY, FL 32907
(321) 953-1413
Mailing address
130 DEL MUNDO ST NW, PALM BAY, FL 32907-1861
(321) 953-1413
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
100012805
FL
Other
Enumeration date
10/10/2011
Last updated
10/10/2011
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