Healthcare Provider Details

I. General information

NPI: 1447114988
Provider Name (Legal Business Name): JEM GROUP, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/10/2025
Last Update Date: 12/10/2025
Certification Date: 12/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

214 SENATE AVE STE 302
CAMP HILL PA
17011-2336
US

IV. Provider business mailing address

214 SENATE AVE STE 302
CAMP HILL PA
17011-2336
US

V. Phone/Fax

Practice location:
  • Phone: 717-238-7709
  • Fax:
Mailing address:
  • Phone: 717-238-7709
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171WH0202X
TaxonomyHome Modifications Contractor
License Number
License Number State

VIII. Authorized Official

Name: SHERI MICKLEY
Title or Position: OPERATIONS ADMIN
Credential:
Phone: 717-238-7709