Organization
JAYCARE PROVIDER SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JACQUETTA ELLIS (OWNER/ADMIN)
(832) 721-4325
Entity
Organization
Contact information
Practice address
10027 SPICE LN APT 210, HOUSTON, TX 77072-5026
(832) 721-4325
Mailing address
1510 ELDRIDGE PKWY # 110-253, HOUSTON, TX 77077-1760
(832) 721-4325
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
02/19/2017
Last updated
02/19/2017
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