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Organization

JABEZ HOME CARE LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MARTINE J MILLER (ADMINISTRATOR)
(754) 244-5808
Entity
Organization

Contact information

Practice address
2101 SW 101ST AVE STE 206, MIRAMAR, FL 33025-5090
(754) 244-5808
(754) 219-4242
Mailing address
2101 SW 101ST AVE STE 206, MIRAMAR, FL 33025-5090
(754) 244-5808
(305) 676-9040

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
253Z00000X
In Home Supportive Care Agency
385H00000X
Respite Care
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100246100
FL
05
106192101
FL
05
113903500
FL
Enumeration date
07/10/2018
Last updated
06/18/2024
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