Organization
ST JOSEPH RESIDENCE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMIE BONAVITA-RHODES (ADMINISTRATOR)
(954) 739-1483
Entity
Organization
Contact information
Practice address
3485 NW 30TH ST, LAUDERDALE LAKES, FL 33311-1890
(954) 739-1483
(954) 485-3952
Mailing address
3485 NW 30TH ST, LAUDERDALE LAKES, FL 33311-1890
(954) 739-1483
(954) 485-3952
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL7380
FL
Other
Enumeration date
10/30/2015
Last updated
10/30/2015
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