Healthcare Provider Details

I. General information

NPI: 1245627207
Provider Name (Legal Business Name): JAMALL NURSING SERVICES UNLIMITED INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/16/2015
Last Update Date: 05/19/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1818 NEW YORK AVE NE SUITE 214-E
WASHINGTON DC
20002-1848
US

IV. Provider business mailing address

1818 NEW YORK AVE NE SUITE 214-E
WASHINGTON DC
20002-1848
US

V. Phone/Fax

Practice location:
  • Phone: 202-526-2552
  • Fax: 202-526-2558
Mailing address:
  • Phone: 202-526-2552
  • Fax: 202-526-2558

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: MAMIE BYNUM
Title or Position: PRESIDENT
Credential:
Phone: 202-526-2552