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General NPI Number Information
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NPI Number | 1477833051
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Entity Type | Organization
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Legal Business Name | J & E FAMILY HOME CARE
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Dates
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Enumeration Date | 08/26/2011
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Last Update Date | 08/26/2011
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Provider Practice Location Address
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Address Line | 19360 NW 32ND AVE
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City | MIAMI GARDENS
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State | FL
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Zip | 33056-2374
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Country | US
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Telephone | 786-487-2225
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Fax |
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Provider Business Mailing Address
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Address Line | 19360 NW 32ND AVE
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City | MIAMI GARDENS
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State | FL
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Zip | 33056-2374
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Country | US
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Telephone | 786-487-2225
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Fax |
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Authorized Official
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Title or Position | OWNER/ADMINISTRATOR
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Name | JANICE E GRAHAM
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Credential |
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Telephone | 786-487-2225
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 311ZA0620X
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Taxonomy Name | Adult Care Home Facility
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License Number | 6906398
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License Number State | FL
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