Provider Demographics
NPI:1538916184
Name:JMJ HEALTHCARE SERVICES CORP
Entity type:Organization
Organization Name:JMJ HEALTHCARE SERVICES CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JANETH
Authorized Official - Middle Name:ALZONA
Authorized Official - Last Name:MORA
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:872-757-2319
Mailing Address - Street 1:532 BUSSE HWY
Mailing Address - Street 2:
Mailing Address - City:PARK RIDGE
Mailing Address - State:IL
Mailing Address - Zip Code:60068-3144
Mailing Address - Country:US
Mailing Address - Phone:872-757-2319
Mailing Address - Fax:872-268-8839
Practice Address - Street 1:532 BUSSE HWY
Practice Address - Street 2:
Practice Address - City:PARK RIDGE
Practice Address - State:IL
Practice Address - Zip Code:60068-3144
Practice Address - Country:US
Practice Address - Phone:872-757-2319
Practice Address - Fax:872-268-8839
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-05-02
Last Update Date:2024-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health