Elianne D. Jerome

NPI 1003107533 - Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities - 320600000X

NPI Details
NPI 1003107533
Enumeration Date 05/02/2011
Last Updated 05/02/2011
Entity Type Healthcare Provider
Active Over 5 years ago
Authorized Information
Name ELIANNE D. ELIANNE
Position OWNER
Phone (813) 654-6886
Fax (813) 654-6886
Practice Location
2158 BRANDON PARK CIR
BRANDON FL, 33510-3946, US
Phone (813) 654-6886
Fax (813) 654-6886
Business Location
2158 BRANDON PARK CIR
BRANDON FL, 33510-3946, US
Phone (813) 654-6886
Fax (813) 654-6886
Toxanomy
Taxonomy Code 320600000X
License State Florida
License Number 6905950
Remove 1003107533 NPI Number
 

According to our database, Elianne D. Jerome NPI is 1003107533, taxonomy code is 320600000X and license number is 6905950, license state is located at Florida. Elianne D. Jerome physically located at 2158 Brandon Park Cir, Brandon FL, 33510-3946. NPI Number 1033115704 has the healthcare provider type.

Sponsored links

1003107533 NPI number is provided on an as is basis without warranty of any kind. 1003107533 is maintained by the National Plan & Provider Enumeration System. The contents of Elianne D. Jerome are for informational purposes only.