Healthcare Provider Details

I. General information

NPI: 1386413268
Provider Name (Legal Business Name): JMD CARE SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/20/2023
Last Update Date: 12/20/2023
Certification Date: 12/20/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

110 BROOK VALLEY RD
COLUMBIA SC
29223-5906
US

IV. Provider business mailing address

110 BROOK VALLEY RD
COLUMBIA SC
29223-5906
US

V. Phone/Fax

Practice location:
  • Phone: 347-285-2323
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: SAMRITY ABBOTT
Title or Position: PRESIDENT
Credential:
Phone: 347-285-2323