J. R. Home Ranch #1, Inc.

NPI #1407226004 in Miami, Florida

Provider Information

NPI Number: 1407226004
Entity Type: Organization
Organization Name: J. R. Home Ranch #1, Inc.
Primary Specialty: Community Based Residential Treatment Facility, Mental Illness
Enumeration Date: Sep 25, 2015
Last Updated: Sep 25, 2015

Practice Location

Address: 20700 SW 136TH ST
City: Miami
State: Florida
ZIP Code: 33196-1882
Phone: (305) 255-6521

Authorized Official

Name: MRS. TANIA ROBLA
Title: CEO
Phone: (305) 807-8978

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Community Based Residential Treatment Facility, Mental Illness	320800000X	Primary

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