Organization
JERICHO HEALTH SERVICE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JEHU JOEL LEDEZMA (ADMINISTRATOR)
(956) 546-7500
Entity
Organization
Contact information
Practice address
255 MORNINGSIDE RD, BROWNSVILLE, TX 78521-4934
(956) 546-7500
(956) 546-3245
Mailing address
255 MORNINGSIDE RD, BROWNSVILLE, TX 78521-4934
(956) 546-7500
(956) 546-3245
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
251E00000X
Home Health Agency
009279
TX
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1447432596
—
TX
Enumeration date
11/30/2007
Last updated
03/11/2021
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