Organization
JENKINSON CO LLC
Active
Organization subpart
Yes
Provider details
NPI number
Authorized official
MAKAYLA BLACKMER (OWNER)
(765) 748-8328
Entity
Organization
Contact information
Practice address
500 S WINMERE AVE, SELMA, IN 47383-9427
(765) 748-8328
Mailing address
500 S WINMERE AVE, SELMA, IN 47383-9427
(765) 748-8328
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
Other
Enumeration date
06/01/2022
Last updated
06/01/2022
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