Organization
J & K IN-HOME CARE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RITA M PRIKKEL MLPN/GT (PRESIDENT)
(937) 223-1635
Entity
Organization
Contact information
Practice address
12 NAAS PL, DAYTON, OH 45404-2054
(937) 223-1635
(937) 223-1503
Mailing address
12 NAAS PL, DAYTON, OH 45404-2054
(937) 223-1635
(937) 223-1503
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
253Z00000X
In Home Supportive Care Agency
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2104976
—
OH
Enumeration date
10/12/2009
Last updated
10/12/2009
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