Organization
J AND K HCS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KEVIN J GUTIERREZ (PRESIDENT)
(786) 216-2754
Entity
Organization
Contact information
Practice address
3010 SW 114TH AVE, MIAMI, FL 33165-2114
(786) 216-2754
Mailing address
3010 SW 114TH AVE, MIAMI, FL 33165-2114
(786) 216-2754
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
232391
FL
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
232391
FL
385H00000X
Respite Care
232391
FL
Other
Enumeration date
01/10/2012
Last updated
01/10/2012
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