Organization
JAC HOME HEALTH AGENCY & DME CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ADRIA CESPEDES (OWNER)
(786) 269-5612
Entity
Organization
Contact information
Practice address
17360 S DIXIE HWY, PALMETTO BAY, FL 33157-4319
(786) 269-5612
Mailing address
17360 S DIXIE HWY, PALMETTO BAY, FL 33157-4319
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Enumeration date
06/21/2018
Last updated
06/21/2018
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