Gomitjam, LLC

NPI #1457847212 in Ocklawaha, Florida

Provider Information

NPI Number
1457847212
Entity Type
Organization
Organization Name
Gomitjam, LLC
Primary Specialty
Assisted Living Facility
Enumeration Date
Jul 5, 2018
Last Updated
Jul 5, 2018

Practice Location

Address
12195 SE 135TH AVE
State
Florida
ZIP Code
32179-5203
Phone
(352) 288-0226

Authorized Official

Name
KHURRAM MIR
Title
PRESIDENT
Phone
(407) 723-9088

Specialties & Taxonomy Codes

Specialty
Assisted Living Facility - Assisted Living, Mental IllnessAssisted Living, Mental Illness
Assisted Living Facility

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