Organization
JKG HOME HEALTH CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JENEEN KATHRYN GAVANA CNA (OWNER)
(570) 926-5698
Entity
Organization
Contact information
Practice address
324 SOPHIA COXE DR, DRIFTON, PA 18221
(570) 926-5698
Mailing address
324 SOPHIA COXE DR, DRIFTON, PA 18221-0283
(570) 926-5698
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
9956348
PA
253Z00000X
In Home Supportive Care Agency
9956348
PA
Other
Enumeration date
05/24/2011
Last updated
05/24/2011
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