Organization
JESUS HOME CARE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EDUARDO GOMEZ (PRESIDENT)
(305) 269-4823
Entity
Organization
Contact information
Practice address
3401 SW 72ND CT, MIAMI, FL 33155-3671
(305) 269-4823
Mailing address
3401 SW 72ND CT, MIAMI, FL 33155-3671
(305) 269-4823
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
9438
FL
3104A0625X
Assisted Living Facility (Mental Illness)
Primary
9438
FL
Other
Enumeration date
05/15/2007
Last updated
11/29/2007
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