Organization
J AND L PROFESSIONAL ALL SERVICES INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LEONARDO A CHEVEZ RIOS (VICE PRESIDENT)
(305) 383-9939
Entity
Organization
Contact information
Practice address
6231 SW 131ST CT, UNIT 202, MIAMI, FL 33183-5278
(305) 383-9939
(305) 383-9939
Mailing address
6231 SW 131ST CT, UNIT 202, MIAMI, FL 33183-5278
(305) 383-9939
(305) 383-9939
Taxonomy
Speciality
Code
Description
License number
State
320700000X
Physical Disabilities Residential Treatment Facility
Primary
PENDING
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PENDING NUMBER
—
FL
Enumeration date
05/17/2007
Last updated
08/22/2020
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