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Organization

MJ CHILDREN PAVILLION, INC

Active
Parent organization
MJ CHILDREN PAVILLION, INC
Other names
MJPAVILLION, INC
Organization subpart
Yes

Provider details

NPI number
Legal business name
MJ CHILDREN PAVILLION, INC
Authorized official
JOAN TYRELL (OWNER)
(407) 462-5613
Entity
Organization

Contact information

Practice address
728 S ENDEAVOUR DR, WINTER SPRINGS, FL 32708-5167
(407) 462-5613
(407) 699-4255
Mailing address
728 S ENDEAVOUR DR, WINTER SPRINGS, FL 32708-5167
(407) 462-5613
(407) 699-4255

Taxonomy

Speciality
Code
Description
License number
State
253J00000X
Foster Care Agency
Primary
18307100308
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
230569100
FL
Enumeration date
09/11/2012
Last updated
09/11/2012
About Stedi
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Product
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  • Eligibility checks
  • EDI platform