Organization
M&J HOME CARE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JUNE MORRIS-COLLIER (ADMINISTRATOR)
(727) 463-0354
Entity
Organization
Contact information
Practice address
5200 17TH ST N, ST PETERSBURG, FL 33714-2706
(727) 525-1906
Mailing address
5200 17TH ST N, ST PETERSBURG, FL 33714-2706
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
AL8249
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
678845996
—
FL
Enumeration date
09/02/2011
Last updated
09/02/2011
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