Organization
SON & JOHNSON GROUP HOME,INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELSA CARLINE BURKE (MANAGER)
(561) 396-7240
Entity
Organization
Contact information
Practice address
6191 HONEYWOOD WAY, LAKEWORTH, FL 33463
(561) 396-7240
(561) 964-9543
Mailing address
6191 HONEYWOOD WAY, LAKE WORTH, FL 33463-6737
(561) 393-7240
(561) 964-9543
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
691655496
FL
Other
Enumeration date
01/26/2011
Last updated
01/26/2011
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