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Organization
JAH WELLNESS LLC
Active
Organization
JAH WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUDY TUPPONCE RN (CEO)
(757) 296-0432
Entity
Organization
Contact information
Practice address
2025 E MAIN ST, RICHMOND, VA 23223-7069
(757) 296-0432
Mailing address
PO BOX 981, YORKTOWN, VA 23692-0981
(757) 296-0432
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
NULL
251S00000X
Community/Behavioral Health Agency
—
NULL
253Z00000X
In Home Supportive Care Agency
Primary
—
NULL
3747P1801X
Personal Care Attendant
—
NULL
3747P1801X
Personal Care Attendant
—
—
385H00000X
Respite Care
—
NULL
Other
Enumeration date
04/25/2024
Last updated
10/25/2024
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