Organization
JORDICO LLC
Active
Organization
JORDICO LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KAYON JONES (OPERATIONS MANAGER)
(321) 250-2496
Entity
Organization
Contact information
Practice address
4417 13TH STREET, SUITE 142, SAINT CLOUD, FL 34769
(321) 250-2496
Mailing address
4417 13TH ST, SUITE 142, SAINT CLOUD, FL 34769-6724
(321) 250-2496
Taxonomy
Speciality
Code
Description
License number
State
3104A0630X
Assisted Living Facility (Behavioral Disturbances)
Primary
L15000044009
FL
Other
Enumeration date
04/03/2015
Last updated
04/03/2015
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