Organization
JAYS HOLISTIC SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN BRIDGES (PRESIDENT)
(773) 860-4700
Entity
Organization
Contact information
Practice address
1642 N MCVICKER AVE, CHICAGO, IL 60639-3914
(773) 860-4700
Mailing address
1642 N MCVICKER, CHICAGO, IL 60639
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
251K00000X
Public Health or Welfare Agency
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
252Y00000X
Early Intervention Provider Agency
—
—
Other
Enumeration date
05/12/2014
Last updated
05/12/2014
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