Organization
J & J HOME & COMMUNITY SUPPORT CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JORGE GONZALEZ (ADMINISTRATOR)
(786) 409-2722
Entity
Organization
Contact information
Practice address
9141 OVERSEAS HWY, UNIT 2, MARATHON, FL 33050-3247
(786) 409-2722
Mailing address
2450 SW 137 AVE, SUITE 225, MIAMI, FL 33175-6332
(786) 409-2722
(786) 618-9184
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
007205200
—
FL
Enumeration date
01/23/2024
Last updated
01/23/2024
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