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General NPI Number Information
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NPI Number | 1841118510
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Entity Type | Organization
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Legal Business Name | JONATHAN ADULT HOME CARE LLC
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Dates
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Enumeration Date | 07/08/2026
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Last Update Date | 07/08/2026
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Provider Practice Location Address
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Address Line | 9160 MELODY RD
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City | LAKE WORTH
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State | FL
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Zip | 33467-4750
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Country | US
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Telephone | 561-215-2010
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Fax |
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Provider Business Mailing Address
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Address Line | 9160 MELODY RD
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City | LAKE WORTH
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State | FL
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Zip | 33467-4750
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Country | US
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Telephone | 561-215-2010
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | KETTY ST FLEUR
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Credential |
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Telephone | 561-215-2010
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 251C00000X
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Taxonomy Name | Developmentally Disabled Services Day Training Agency
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 261QD1600X
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Taxonomy Name | Developmental Disabilities Clinic/Center
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License Number |
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License Number State |
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