Organization
JCORPS
Active
Other names
JCORPS HOMECARE SERVICES
Organization subpart
No
Provider details
NPI number
Authorized official
MISS LASHUNDRA CRAIG (OWNER)
(256) 974-9550
Entity
Organization
Contact information
Practice address
644 MAIN ST, MOULTON, AL 35650-1513
(256) 974-9550
(256) 974-7887
Mailing address
644 MAIN ST, 644 MAIN ST, MOULTON, AL 35650-1513
(256) 974-9550
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
—
—
164W00000X
Licensed Practical Nurse
—
—
374U00000X
Home Health Aide
—
—
376J00000X
Homemaker
—
—
376K00000X
Nurse's Aide
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1720119944
—
AL
Enumeration date
03/08/2007
Last updated
04/30/2010
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