# JAYCARE PROVIDER SERVICES, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1760921035
- **Authorized official:** MS. JACQUETTA ELLIS (OWNER/ADMIN)
- **Authorized official phone:** (832) 721-4325

## Contact information

- **Practice address:** 10027 SPICE LN APT 210, HOUSTON, TX 77072-5026
- **Practice address phone:** (832) 721-4325
- **Mailing address:** 1510 ELDRIDGE PKWY \# 110-253, HOUSTON, TX 77077-1760
- **Mailing address phone:** (832) 721-4325

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 02/19/2017
- **Last updated:** 02/19/2017