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NPI Code Detail

MEDICARE: JERICHO HEALTH SERVICES, INC.

MEDICARE: JERICHO HEALTH SERVICES, INC.
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 Agency009279TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1001013850OTHERTXCBA CONTRACT
2001013849OTHERTXPHC CONTRACT
3009279OTHERTXLICENSE

General Provider Information

NPI Number : 1871638288
Entity Type Code : Organization
Provider Name (Legal Business Name) : JERICHO HEALTH SERVICES, INC.
Provider Business Mailing Address
First Line : 954 E MADISON ST
Second Line :
City : BROWNSVILLE
State : TX
Zip : 78520-5950
Country : US
Telephone Number : 956-546-7500
Fax Number : 956-546-3245
Provider Business Practice Location Address
First Line : 954 E MADISON ST
Second Line :
City : BROWNSVILLE
State : TX
Zip : 78520-5950
Country : US
Telephone Number : 956-546-7500
Fax Number : 956-546-3245
Authorized Official
Title or Position : C.F.O.
Name : MR. ZAUL Z ZAMORA
Credential :
Telephone Number : 956-546-7500
Provider Enumeration Date : 02/21/2007
Last Update Date : 07/15/2009

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Directions to “JERICHO HEALTH SERVICES, INC. ” Practice Location

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