Organization
MY JOURNEY JMT INC
Active
Organization
MY JOURNEY JMT INC
Active
Other names
My Journey Inc
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOSE M TROCHE PERSONAL SUPPORT REP (MANAGER)
(352) 515-8202
Entity
Organization
Contact information
Practice address
7241 BLACKHAWK TRL, SPRING HILL, FL 34606-2519
(352) 515-8202
Mailing address
7241 BLACKHAWK TRL, SPRING HILL, FL 34606-2519
(352) 515-8202
Taxonomy
Speciality
Code
Description
License number
State
261QD1600X
Developmental Disabilities Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
022698300
—
FL
Enumeration date
07/20/2020
Last updated
07/20/2020
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