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Organization

MILLER, VERONICA ELAINE

Active
Parent organization
JUANITA'S ADULT FAMILY CARE HOME LLC
Other names
JUANITA'S ADULT FAMILY CARE HOME LLC
Organization subpart
Yes

Provider details

NPI number
Legal business name
JUANITA'S ADULT FAMILY CARE HOME LLC
Authorized official
VERONICA ELAINE MILLER (OWNER)
(267) 746-9203
Entity
Organization

Contact information

Practice address
510 WYNNWOOD DR, BRANDON, FL 33511-7999
(267) 746-9203
Mailing address
510 WYNNWOOD DR, BRANDON, FL 33511-7999

Taxonomy

Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary

Other

Enumeration date
05/25/2022
Last updated
05/25/2022
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