Provider Demographics
NPI:1063597482
Name:JADAH'S COMMUNITY HEALTH SERVICES
Entity type:Organization
Organization Name:JADAH'S COMMUNITY HEALTH SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:MICHELLE
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:PALMER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:614-626-0917
Mailing Address - Street 1:6778 ALEXDON CT
Mailing Address - Street 2:
Mailing Address - City:REYNOLDSBURG
Mailing Address - State:OH
Mailing Address - Zip Code:43068-4007
Mailing Address - Country:US
Mailing Address - Phone:614-626-0917
Mailing Address - Fax:614-626-0917
Practice Address - Street 1:6778 ALEXDON CT
Practice Address - Street 2:
Practice Address - City:REYNOLDSBURG
Practice Address - State:OH
Practice Address - Zip Code:43068-4007
Practice Address - Country:US
Practice Address - Phone:614-626-0917
Practice Address - Fax:614-626-0917
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-25
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH1617927251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health