Organization
JEROLL CARE ASSISTED LIVING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JHOANE 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
Mailing address
107 COFFEE ST SE, PALM BAY, FL 32909-8561
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL12239
FL
Other
Enumeration date
06/11/2013
Last updated
06/11/2013
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