Individual
ROSE MITHA JOSEPH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1739 SAWGRASS CIR, GREENACRES, FL 33413-3038
(561) 704-7629
Mailing address
1739 SAWGRASS CIR, GREENACRES, FL 33413-3038
(561) 557-3120
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
6906968
FL
Other
Enumeration date
01/17/2019
Last updated
01/17/2019
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