MEDICARE: JRK 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
1	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1669473823
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JRK SERVICES, INC

Provider Business Mailing Address
First Line	:	725 INDIANA ST
Second Line	:
City	:	RAPID CITY
State	:	SD
Zip	:	57701-5858
Country	:	US
Telephone Number	:	605-348-5885
Fax Number	:	605-348-8262

Provider Business Practice Location Address
First Line	:	725 INDIANA ST
Second Line	:
City	:	RAPID CITY
State	:	SD
Zip	:	57701-5858
Country	:	US
Telephone Number	:	605-348-5885
Fax Number	:	605-348-8262

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	CHRISTINE BAIRD
Credential	:
Telephone Number	:	605-348-5885

Provider Enumeration Date	:	08/09/2005
Last Update Date	:	02/22/2024

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