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NPI Code Detail

MEDICARE: JERUSEM HEALTHCARE SERVICES INC

MEDICARE: JERUSEM HEALTHCARE SERVICES INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251E00000XHome Health Agency

General Provider Information

NPI Number : 1477838688
Entity Type Code : Organization
Provider Name (Legal Business Name) : JERUSEM HEALTHCARE SERVICES INC
Provider Business Mailing Address
First Line : 9525 ELLA LEE LN
Second Line :
City : HOUSTON
State : TX
Zip : 77063-1252
Country : US
Telephone Number : 832-715-4876
Fax Number :
Provider Business Practice Location Address
First Line : 9525 ELLA LEE LN
Second Line :
City : HOUSTON
State : TX
Zip : 77063-1252
Country : US
Telephone Number : 832-715-4876
Fax Number :
Authorized Official
Title or Position : PRESIDENT
Name : EMMANUEL J OSEMWEGIE
Credential :
Telephone Number : 832-715-4876
Provider Enumeration Date : 10/19/2011
Last Update Date : 10/19/2011

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Directions to “JERUSEM HEALTHCARE SERVICES INC ” Practice Location

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