Elianne D. Jerome

NPI #1003107533 in Brandon, Florida

Provider Information

NPI Number: 1003107533
Entity Type: Organization
Organization Name: Elianne D. Jerome
Primary Specialty: Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Enumeration Date: May 2, 2011
Last Updated: May 2, 2011

Practice Location

Address: 2158 BRANDON PARK CIR
City: Brandon
State: Florida
ZIP Code: 33510-3946
Phone: (813) 654-6886

Authorized Official

Name: MRS. ELIANNE D. JEROME, HHA
Title: OWNER
Phone: (813) 654-6886

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Residential Treatment Facility, Intellectual and/or Developmental Disabilities	320600000X	Primary

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