Organization
SAN JUDAS HOME CARE CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GRECIA PURI (ADMINISTRATOR)
(305) 762-4064
Entity
Organization
Contact information
Practice address
10720 NW 5TH AVE, MIAMI, FL 33168-3209
(305) 762-4064
Mailing address
10720 NW 5TH AVE, MIAMI, FL 33168-3209
(305) 762-4064
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
10118
FL
Other
Enumeration date
01/29/2014
Last updated
01/29/2014
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