Organization
MAISON DE ST JOSEPH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JUNIE ST JEAN JOSEPH (OWNER/ADMINISTRATOR)
(305) 624-1135
Entity
Organization
Contact information
Practice address
18401 NW 17TH AVE, MIAMI GARDENS, FL 33056-3303
(305) 624-1135
(305) 623-9847
Mailing address
18401 NW 17TH AVE, MIAMI GARDENS, FL 33056-3303
(305) 624-1135
(305) 623-9847
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
11-19-GC
FL
Other
Enumeration date
09/20/2010
Last updated
09/20/2010
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