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NPI Code Detail

MEDICARE: JAMI'S ENTERPRISES, INC. EDA

MEDICARE: JAMI'S ENTERPRISES, INC. EDA
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
1253Z00000XIn Home Supportive Care Agency

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1265757082
Entity Type Code : Organization
Provider Name (Legal Business Name) : JAMI'S ENTERPRISES, INC. EDA
Provider Business Mailing Address
First Line : 2287 E MASON AVE
Second Line :
City : BATON ROUGE
State : LA
Zip : 70805-1124
Country : US
Telephone Number : 225-356-5635
Fax Number : 225-357-9958
Provider Business Practice Location Address
First Line : 2287 E MASON AVE
Second Line :
City : BATON ROUGE
State : LA
Zip : 70805-1124
Country : US
Telephone Number : 225-356-5635
Fax Number : 225-357-9958
Authorized Official
Title or Position : CHIEF EXECUTIVE OFFICER
Name : MRS. RUTH PLUMMER HUBBARD
Credential : N F A
Telephone Number : 225-356-5635
Provider Enumeration Date : 04/05/2010
Last Update Date : 04/05/2010

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Directions to “JAMI'S ENTERPRISES, INC. EDA ” Practice Location

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