Organization
JOHNNYBURNELL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN WYCHE (OWNER)
(305) 300-1677
Entity
Organization
Contact information
Practice address
18100 SW 70TH PL, SOUTHWEST RANCHES, FL 33331-1834
(305) 300-1677
Mailing address
18100 SW 70TH PL, SOUTHWEST RANCHES, FL 33331-1834
(305) 300-1677
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
04/28/2022
Last updated
04/28/2022
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