Organization
JA COMMUNITY SERVICES, LLC
Active
Other names
JACS
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOSEPH A POWELL JR. M.S. (PRESIDENT)
(301) 523-5030
Entity
Organization
Contact information
Practice address
6480 NEW HAMPSHIRE AVE, #101, TAKOMA PARK, MD 20912-4716
(301) 523-5030
Mailing address
8109 HOLLYGATE DR, GLENN DALE, MD 20769-2043
(301) 523-5030
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
253Z00000X
In Home Supportive Care Agency
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
037172800
—
DC
Enumeration date
07/28/2015
Last updated
07/28/2015
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