Organization
JEVS CARE AT HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT JAMISON (VP ORGANIZATIONAL DEVELOPMENT)
(267) 298-1619
Entity
Organization
Contact information
Practice address
9350 ASHTON RD RM 102, PHILADELPHIA, PA 19114-7401
(267) 298-1619
Mailing address
9350 ASHTON RD RM 102, PHILADELPHIA, PA 19114-7401
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
23553601
PA
385H00000X
Respite Care
23553601
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102748837-0002
—
PA
Enumeration date
11/01/2017
Last updated
07/11/2019
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