Organization
JJ SHERRITA WHOLELISTIC SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CONNIE COBBS (OWNER)
(321) 438-3744
Entity
Organization
Contact information
Practice address
5415 HYDE PARK AVE, ORLANDO, FL 32808-1456
(321) 438-3744
Mailing address
5415 HYDE PARK AVE, ORLANDO, FL 32808-1456
(321) 438-3744
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
11/16/2017
Last updated
11/16/2017
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