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General NPI Number Information
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NPI Number | 1780038208
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Entity Type | Organization
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Legal Business Name | JMAKE HEALTH CARE SERVICES LLC.
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Dates
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Enumeration Date | 04/21/2016
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Last Update Date | 08/18/2025
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Provider Practice Location Address
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Address Line | 3800 INVERRARY BLVD STE # 400 C
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City | LAUDERHILL
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State | FL
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Zip | 33319-4382
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Country | US
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Telephone | 954-696-4919
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Fax | 954-284-6508
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Provider Business Mailing Address
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Address Line | 3800 INVERRARY BLVD STE # 400 C
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City | LAUDERHILL
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State | FL
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Zip | 33319
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Country | US
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Telephone | 954-696-4919
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Fax | 954-284-6508
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Authorized Official
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Title or Position | OWNER/
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Name | MISS JACQUELINE PATRICIA MCKNIGHT
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Credential |
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Telephone | 954-696-4919
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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