MEDICARE: JAHZARA'S WAY INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	251300000X	Local Education Agency (LEA)
2	251B00000X	Case Management Agency
3	261QC1500X	Community Health Clinic/Center
4	261QD1600X	Developmental Disabilities Clinic/Center
5	261QP0905X	State or Local Public Health Clinic/Center
6	251V00000X	Voluntary or Charitable Agency

General Provider Information

NPI Number	:	1083191662
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JAHZARA'S WAY INC.

Provider Business Mailing Address
First Line	:	6 AUTUMN DR
Second Line	:
City	:	PISCATAWAY
State	:	NJ
Zip	:	08854-3552
Country	:	US
Telephone Number	:	173-280-1453
Fax Number	:

Provider Business Practice Location Address
First Line	:	2 TECHNOLOGY DR
Second Line	:
City	:	WARREN
State	:	NJ
Zip	:	07059-6600
Country	:	US
Telephone Number	:	908-379-9590
Fax Number	:

Authorized Official
Title or Position	:	EXECUTIVE DIRECTOR
Name	:	MS. JESSICA BROOKS
Credential	:
Telephone Number	:	173-280-1453

Provider Enumeration Date	:	07/25/2018
Last Update Date	:	07/25/2018

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