Organization
JAMM LLC
Active
Other names
Keystone Garden Estates
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER MENICHINI ADMINISTRATOR, LPN (ADMINISTRATOR)
(570) 719-0763
Entity
Organization
Contact information
Practice address
100 NARROWS RD, LARKSVILLE, PA 18651-3222
(570) 719-0763
(570) 719-0764
Mailing address
100 NARROWS ROAD ROUTE 11, LARKSVILLE, PA 18651
(570) 719-0763
(570) 719-0764
Taxonomy
Speciality
Code
Description
License number
State
385H00000X
Respite Care
Primary
201150
PA
Other
Enumeration date
04/12/2007
Last updated
07/15/2016
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