Ms. Jennie's Place INC

NPI #1265204762 in Orlando, Florida

Provider Information

NPI Number: 1265204762
Entity Type: Organization
Organization Name: Ms. Jennie's Place INC
Primary Specialty: Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Enumeration Date: Oct 27, 2023
Last Updated: Oct 27, 2023

Practice Location

Address: 924 N MAGNOLIA AVE STE 320
City: Orlando
State: Florida
ZIP Code: 32803-3850
Phone: (407) 496-6673

Authorized Official

Name: RANDOLPH BRACY
Title: CEO
Phone: (407) 274-5405

Specialties & Taxonomy Codes

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

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