Organization
JUMP START HOME CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DANIEL FEIVOR (CO-OWNER)
(804) 557-5255
Entity
Organization
Contact information
Practice address
5373 ARISTOCRAT DR, PROVIDENCE FORGE, VA 23140-4443
(804) 557-5255
(804) 557-5255
Mailing address
5373 ARISTOCRAT DR, PROVIDENCE FORGE, VA 23140-4443
(804) 557-5255
(804) 557-5255
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
05/05/2023
Last updated
08/03/2023
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