Healthcare Provider Details

I. General information

NPI: 1851615017
Provider Name (Legal Business Name): JPS HEALTH SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/17/2010
Last Update Date: 03/17/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8116A HARFORD RD
BALTIMORE MD
21234
US

IV. Provider business mailing address

8116 HARFORD ROAD
PARKVILLE MD
21234
US

V. Phone/Fax

Practice location:
  • Phone: 443-310-1205
  • Fax: 410-665-4412
Mailing address:
  • Phone: 443-310-1205
  • Fax: 410-665-4412

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3140N1450X
TaxonomyPediatric Skilled Nursing Facility
License NumberR2847
License Number StateMD

VIII. Authorized Official

Name: MISS VERONICA BROWN
Title or Position: ADMINISTARTOR
Credential:
Phone: 443-310-1205