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NPI Code Detail

MEDICARE: JER CARE LLC

MEDICARE: JER CARE LLC
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
1251G00000XCommunity Based Hospice Care Agency

General Provider Information

NPI Number : 1235588435
Entity Type Code : Organization
Provider Name (Legal Business Name) : JER CARE LLC
Provider Business Mailing Address
First Line : 14541 FORESTDALE LN
Second Line :
City : FARMERS BRANCH
State : TX
Zip : 75234-2031
Country : US
Telephone Number : 941-769-1258
Fax Number :
Provider Business Practice Location Address
First Line : 2000 E LAMAR BLVD STE 600
Second Line :
City : ARLINGTON
State : TX
Zip : 76006-7361
Country : US
Telephone Number : 941-769-1258
Fax Number :
Authorized Official
Title or Position : ADMINISTRATOR
Name : ROSA S. BENGHTT
Credential :
Telephone Number : 941-769-1258
Provider Enumeration Date : 06/08/2016
Last Update Date : 06/08/2016

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Directions to “JER CARE LLC ” Practice Location

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