Organization
JEROLL CARE ASSISTED LIVING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JHOANE EUNICE LALEAU RN, BSN (ADMINISTRATOR)
(321) 266-5166
Entity
Organization
Contact information
Practice address
107 COFFEE ST SE, PALM BAY, FL 32909-8561
(321) 266-5166
(321) 821-1525
Mailing address
107 COFFEE ST SE, PALM BAY, FL 32909-8561
(321) 266-5166
(321) 821-1525
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
12239
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003357400
—
FL
Enumeration date
10/18/2012
Last updated
10/18/2012
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