MEDICARE: J-CAN UNITED HEALTHCARE SERVICES, INC.

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1205002912
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	J-CAN UNITED HEALTHCARE SERVICES, INC.

Provider Business Mailing Address
First Line	:	3225 WOODLAND PARK DR
Second Line	:	SUITE 1682
City	:	HOUSTON
State	:	TX
Zip	:	77082-7603
Country	:	US
Telephone Number	:	281-759-8109
Fax Number	:	281-759-8109

Provider Business Practice Location Address
First Line	:	3225 WOODLAND PARK DR
Second Line	:	SUITE 1682
City	:	HOUSTON
State	:	TX
Zip	:	77082-7603
Country	:	US
Telephone Number	:	281-759-8109
Fax Number	:	281-759-8109

Authorized Official
Title or Position	:	CFO
Name	:	MS. JOYCE NNEDI AGU
Credential	:
Telephone Number	:	281-759-8109

Provider Enumeration Date	:	05/02/2008
Last Update Date	:	05/02/2008

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