MEDICARE: JAMIS ENTERPRISES

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	311Z00000X	Custodial Care Facility

General Provider Information

NPI Number	:	1760683106
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JAMIS ENTERPRISES

Provider Business Mailing Address
First Line	:	2287 E MASON AVE
Second Line	:
City	:	BATON ROUGE
State	:	LA
Zip	:	70805-1124
Country	:	US
Telephone Number	:	225-356-1354
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	:	225-356-1354
Fax Number	:	225-357-9958

Authorized Official
Title or Position	:	DIRECTOR
Name	:	MRS. RUTH P. HUBBARD
Credential	:
Telephone Number	:	225-356-1354

Provider Enumeration Date	:	05/31/2007
Last Update Date	:	08/22/2020

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Directions to “JAMIS ENTERPRISES ” Practice Location

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