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NPI Code Detail

MEDICARE: JD NURSING & MANAGEMENT SER

MEDICARE: JD NURSING & MANAGEMENT SER
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 Agency04-5-4DC

General Provider Information

NPI Number : 1811940513
Entity Type Code : Organization
Provider Name (Legal Business Name) : JD NURSING & MANAGEMENT SER
Provider Business Mailing Address
First Line : 6120 KANSAS AVE NW
Second Line :
City : WASHINGTON
State : DC
Zip : 20011-1328
Country : US
Telephone Number : 202-722-7776
Fax Number : 202-722-7785
Provider Business Practice Location Address
First Line : 6120 KANSAS AVE NW
Second Line :
City : WASHINGTON
State : DC
Zip : 20011-1328
Country : US
Telephone Number : 202-722-7776
Fax Number : 202-722-7785
Authorized Official
Title or Position : ADMINISTRATOR
Name : MR. JAMES NNEBEDUM IBE
Credential :
Telephone Number : 202-722-7776
Provider Enumeration Date : 05/17/2006
Last Update Date : 11/06/2014

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