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Organization

JINNAH LIFE CARE COMMUINTY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. KAMILLIA KASANDRA JEFFERIES (CEO)
(239) 600-9191
Entity
Organization

Contact information

Practice address
4231 TRUMAN DR, SEFFNER, FL 33584
(239) 600-9191
(813) 643-0150
Mailing address
4231 TRUMAN DR, SEFFNER, FL 33584-8354
(239) 600-9191
(813) 643-0150

Taxonomy

Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
251E00000X
Home Health Agency
Primary
253Z00000X
In Home Supportive Care Agency
261QD1600X
Developmental Disabilities Clinic/Center
261QH0100X
Health Service Clinic/Center
310400000X
Assisted Living Facility
3104A0625X
Assisted Living Facility (Mental Illness)
3104A0630X
Assisted Living Facility (Behavioral Disturbances)
310500000X
Mental Illness Intermediate Care Facility
311500000X
Alzheimer Center (Dementia Center)
311Z00000X
Custodial Care Facility
311ZA0620X
Adult Care Home Facility
315D00000X
Inpatient Hospice
343900000X
Non-emergency Medical Transport (VAN)
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care

Other

Enumeration date
06/15/2017
Last updated
07/21/2022
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