MEDICARE: JMJ HEALTHCARE INCORPORATED

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	251E00000X	Home Health Agency	20553601	PA

General Provider Information

NPI Number	:	1780988618
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JMJ HEALTHCARE INCORPORATED

Provider Business Mailing Address
First Line	:	1055 WESTLAKES DR
Second Line	:	SUITE 300
City	:	BERWYN
State	:	PA
Zip	:	19312-2410
Country	:	US
Telephone Number	:	484-328-1705
Fax Number	:	484-328-1703

Provider Business Practice Location Address
First Line	:	1055 WESTLAKES DR
Second Line	:	SUITE 300
City	:	BERWYN
State	:	PA
Zip	:	19312-2410
Country	:	US
Telephone Number	:	484-328-1705
Fax Number	:	484-328-1703

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MR. REYNOLDS FRANCIS COREA
Credential	:
Telephone Number	:	484-328-1705

Provider Enumeration Date	:	01/06/2011
Last Update Date	:	01/06/2011

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