Organization
JESUS ES MI ROCA, INC,
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUAN M FERNANDEZ (OWNER)
(305) 278-8264
Entity
Organization
Contact information
Practice address
10900 SW 184TH ST, CUTLER BAY, FL 33157-6608
(305) 278-8264
Mailing address
10900 SW 184TH ST, CUTLER BAY, FL 33157-6608
(305) 278-8264
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
—
—
Other
Enumeration date
05/12/2009
Last updated
10/24/2018
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