Organization
J. R. HOME RANCH #1, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TANIA ROBLA (CEO)
(305) 807-8978
Entity
Organization
Contact information
Practice address
20700 SW 136TH ST, MIAMI, FL 33196-1882
(305) 255-6521
(305) 255-6521
Mailing address
20700 SW 136TH ST, MIAMI, FL 33196-1882
(305) 255-6521
(305) 255-6521
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
FL
Other
Enumeration date
09/25/2015
Last updated
09/25/2015
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