Organization
JLW HEALTHCARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIA RIVERA (OWNER)
(855) 541-5461
Entity
Organization
Contact information
Practice address
10556 LAKE JASMINE DR, BOCA RATON, FL 33498-1616
(561) 603-1445
Mailing address
3621 N PACIFIC COAST CIR, LAUDERDALE LAKES, FL 33309-2262
(561) 828-9191
(954) 900-1573
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
11/19/2019
Last updated
10/02/2020
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