Organization
JJSJ HEALTH CARE CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS SANDRA MOLA (ADMINISTRATOR)
(786) 367-1064
Entity
Organization
Contact information
Practice address
11110 SW 40TH ST, MIAMI, FL 33165-4417
(786) 367-1064
(786) 313-3723
Mailing address
11110 SW 40TH ST, MIAMI, FL 33165-4417
(786) 367-1064
(786) 313-3723
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
233853
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
233853
AGENCY FOR HEALTH CARE ADMINISTRATION ( HOMEMAKER & COMPANION SERVICES)
FL
Enumeration date
02/12/2015
Last updated
02/12/2015
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