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NPI Code Detail

MEDICARE: JAKINCARE LLC

MEDICARE: JAKINCARE 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
1253Z00000XIn Home Supportive Care Agency

General Provider Information

NPI Number : 1477038883
Entity Type Code : Organization
Provider Name (Legal Business Name) : JAKINCARE LLC
Provider Business Mailing Address
First Line : 3730 KIRBY DR STE 1200
Second Line :
City : HOUSTON
State : TX
Zip : 77098-3985
Country : US
Telephone Number : 202-706-1734
Fax Number : 713-583-1030
Provider Business Practice Location Address
First Line : 3730 KIRBY DR STE 1200
Second Line :
City : HOUSTON
State : TX
Zip : 77098-3985
Country : US
Telephone Number : 202-706-1734
Fax Number : 713-583-1030
Authorized Official
Title or Position : OWNER
Name : OLUSEYI IDOWU
Credential :
Telephone Number : 202-706-1734
Provider Enumeration Date : 10/02/2018
Last Update Date : 10/22/2019

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Directions to “JAKINCARE LLC ” Practice Location

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