MEDICARE: JML CARE CENTER

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	311ZA0620X	Adult Care Home Facility	0917	MA

Other Identifiers

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

General Provider Information

NPI Number	:	1770573560
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JML CARE CENTER

Provider Business Mailing Address
First Line	:	184 TER HEUN DR
Second Line	:
City	:	FALMOUTH
State	:	MA
Zip	:	02540-2503
Country	:	US
Telephone Number	:	508-457-4621
Fax Number	:	508-457-1218

Provider Business Practice Location Address
First Line	:	184 TER HEUN DR
Second Line	:
City	:	FALMOUTH
State	:	MA
Zip	:	02540-2503
Country	:	US
Telephone Number	:	508-457-4621
Fax Number	:	508-457-1218

Authorized Official
Title or Position	:	CEO
Name	:	MR. CHARLES PETERMAN JR
Credential	:
Telephone Number	:	508-457-4621

Provider Enumeration Date	:	10/24/2005
Last Update Date	:	08/22/2020

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Directions to “JML CARE CENTER ” Practice Location

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