Organization
KHYLAS CARE LLC
Active
Other names
khylas Care llc
Organization subpart
No
Provider details
NPI number
Authorized official
RODNEY JACKSON (PRESIDENT)
(727) 225-1669
Entity
Organization
Contact information
Practice address
8375 ROBIN RD, SEMINOLE, FL 33777-3415
(727) 225-1669
Mailing address
8375 ROBIN RD, SEMINOLE, FL 33777-3415
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
01/23/2022
Last updated
01/23/2022
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