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Organization
J.A.K. INDEPENDENT SERVICES LLC
Active
Organization
J.A.K. INDEPENDENT SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TREESA GRAY (CEO)
(513) 888-1591
Entity
Organization
Contact information
Practice address
1887 LOTUSHILL DR, CINCINNATI, OH 45240-3313
(513) 825-0525
Mailing address
1887 LOTUSHILL DR, CINCINNATI, OH 45240-3313
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
253Z00000X
In Home Supportive Care Agency
—
—
347C00000X
Private Vehicle
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0218528
—
OH
Enumeration date
04/24/2018
Last updated
09/11/2023
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