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NPI Code Detail

MEDICARE: NEHAH LLC

MEDICARE: NEHAH 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
1251E00000XHome Health Agency
2253Z00000XIn Home Supportive Care Agency
3385H00000XRespite Care
4376J00000XHomemaker

General Provider Information

NPI Number : 1407631500
Entity Type Code : Organization
Provider Name (Legal Business Name) : NEHAH LLC
Provider Business Mailing Address
First Line : 2117 BOSTON AVE
Second Line :
City : BRIDGEPORT
State : CT
Zip : 06610-3030
Country : US
Telephone Number : 203-590-1947
Fax Number :
Provider Business Practice Location Address
First Line : 2117 BOSTON AVE
Second Line :
City : BRIDGEPORT
State : CT
Zip : 06610-3030
Country : US
Telephone Number : 203-590-1947
Fax Number :
Authorized Official
Title or Position : CEO, PRESIDENT
Name : DR. JEAN K JACOB
Credential : PHARM. D.
Telephone Number : 203-590-1947
Provider Enumeration Date : 08/28/2023
Last Update Date : 08/28/2023

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Directions to “NEHAH LLC ” Practice Location

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