Organization
JOYCIE M JOHNSON
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS JOYCIE MAY JOHNSON (OWNER/ADMINISTRATOR)
(321) 327-2718
Entity
Organization
Contact information
Practice address
2698 HESTER AVE SE, SAME, PALM BAY, FL 32909-7607
(321) 327-2718
(321) 727-8811
Mailing address
2698 HESTER AVE SE, PALM BAY, FL 32909-7607
(321) 327-2718
(321) 727-8811
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
6906635
FL
Other
Enumeration date
10/01/2013
Last updated
01/23/2014
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