Healthcare Provider Details

I. General information

NPI: 1326252057
Provider Name (Legal Business Name): J M LIMITED, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/10/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1716 GOVERNMENT ST SUITE D
OCEAN SPRINGS MS
39564-3801
US

IV. Provider business mailing address

1716 GOVERNMENT ST SUITE D
OCEAN SPRINGS MS
39564-3801
US

V. Phone/Fax

Practice location:
  • Phone: 228-818-6110
  • Fax: 228-818-6113
Mailing address:
  • Phone: 228-818-6110
  • Fax: 228-818-6113

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code376J00000X
TaxonomyHomemaker
License Number
License Number State

VIII. Authorized Official

Name: MRS. MARY H. SUKIENNIK
Title or Position: FRANCHISE OWNER
Credential:
Phone: 228-818-6110