Provider Demographics
NPI:1740598416
Name:JEWISH ASSOIATION FOR RESIDENTIAL CARE INC.
Entity Type:Organization
Organization Name:JEWISH ASSOIATION FOR RESIDENTIAL CARE INC.
Other - Org Name:JARC
Other - Org Type:Other Name
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:DEBRA
Authorized Official - Middle Name:
Authorized Official - Last Name:HALLOW
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:561-558-2550
Mailing Address - Street 1:21160 95TH AVE S
Mailing Address - Street 2:
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33428-3534
Mailing Address - Country:US
Mailing Address - Phone:561-558-2550
Mailing Address - Fax:561-487-7840
Practice Address - Street 1:21160 95TH AVE S
Practice Address - Street 2:
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33428-3534
Practice Address - Country:US
Practice Address - Phone:561-558-2550
Practice Address - Fax:561-487-7840
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-09-16
Last Update Date:2010-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL683034098251C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services