Organization
JERUSALEM GROUP HOME LLC
Active
Organization
JERUSALEM GROUP HOME LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROSE JEAN BAPTISTE (OWNER)
(305) 763-7043
Entity
Organization
Contact information
Practice address
2440 SW 82ND TER, MIRAMAR, FL 33025-2134
(305) 763-7043
Mailing address
2440 SW 82ND TER, MIRAMAR, FL 33025-2134
(305) 763-7043
Taxonomy
Speciality
Code
Description
License number
State
261QD1600X
Developmental Disabilities Clinic/Center
Primary
—
—
Other
Enumeration date
06/17/2020
Last updated
06/17/2020
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