Organization
GOMITJAM, LLC
Active
Other names
SOLITA'S COMFORT
Organization subpart
No
Provider details
NPI number
Authorized official
KHURRAM MIR (PRESIDENT)
(407) 723-9088
Entity
Organization
Contact information
Practice address
12195 SE 135TH AVE, OCKLAWAHA, FL 32179-5203
(352) 288-0226
Mailing address
1019 SAINT IVES CT, MOUNT DORA, FL 32757-9129
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
3104A0625X
Assisted Living Facility (Mental Illness)
—
—
Other
Enumeration date
07/05/2018
Last updated
07/05/2018
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