Individual provider · Type 1 NPI
Ezechiel Jean
Adult Care Home Facility · Southport, FL
NPI number
1750260568
Active
Practice location
51 Alegro Dr
Southport, FL 32409-1745
Fax (850) 257-8096
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Care Home Facility Primary | 311ZA0620X | 6907145 (FL) |
Adult Care Home Facility: A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.
Another provider at this address
About NPI 1750260568
Ezechiel Jean's National Provider Identifier is 1750260568, issued on Aug 27, 2025. The primary taxonomy on file is Adult Care Home Facility (311ZA0620X), and the practice location is in Southport, FL. The record was last updated on Aug 27, 2025.