Organization
J & J FRANCHISE INC.
Active
Other names
Amada Senior Care Clearwater
Organization subpart
No
Provider details
NPI number
Authorized official
JOE MEDOLLA (OWNER)
(727) 228-2708
Entity
Organization
Contact information
Practice address
2201 NE COACHMAN RD STE 201, CLEARWATER, FL 33765-2200
(727) 228-2708
(727) 228-2997
Mailing address
2201 NE COACHMAN RD STE 201, CLEARWATER, FL 33765-2200
(727) 228-2708
(727) 228-2997
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
299994820
AHCA LICENSE
FL
Enumeration date
08/20/2019
Last updated
08/20/2019
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