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NPI Code Detail

MEDICARE: JY INC

MEDICARE: JY 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
1261QA0600XAdult Day Care Clinic/Center11766MD

General Provider Information

NPI Number : 1932223377
Entity Type Code : Organization
Provider Name (Legal Business Name) : JY INC
Provider Business Mailing Address
First Line : 1915 MARYLAND AVE
Second Line :
City : BALTIMORE
State : MD
Zip : 21218-5916
Country : US
Telephone Number : 410-528-8730
Fax Number : 410-528-8733
Provider Business Practice Location Address
First Line : 1915 MARYLAND AVE
Second Line :
City : BALTIMORE
State : MD
Zip : 21218-5916
Country : US
Telephone Number : 410-528-8730
Fax Number : 410-528-8733
Authorized Official
Title or Position : PRESIDENT
Name : JOSEPH SHPRAGA
Credential :
Telephone Number : 410-528-8730
Provider Enumeration Date : 03/19/2007
Last Update Date : 08/22/2020

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Directions to “JY INC ” Practice Location

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