Organization
JT PRIVATE DUTY HOME CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN MORANO (CEO)
(239) 878-4510
Entity
Organization
Contact information
Practice address
27499 RIVERVIEW CENTER BLVD STE 207, BONITA SPRINGS, FL 34134-4334
(239) 896-6582
(239) 645-4679
Mailing address
27499 RIVERVIEW CENTER BLVD, BONITA SPRINGS, FL 34134-4313
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
12/26/2017
Last updated
12/26/2017
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