| Jaj Home Healthcare Services, Inc. | |
|
5919a York Rd Baltimore City MD 21212 | |
| (410) 435-0322 | |
| (410) 435-0299 |
| Full Name | Jaj Home Healthcare Services, Inc. |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 5919a York Rd, Baltimore City, Maryland |
| Authorized Official Name and Position | John Nwokoroku (PRESIDENT) |
| Authorized Official Contact | 4104350322 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jaj Home Healthcare Services, Inc. 5919a York Road Baltimore MD 21212 Ph: (410) 435-0322 | Jaj Home Healthcare Services, Inc. 5919a York Rd Baltimore City MD 21212 Ph: (410) 435-0322 |
| NPI Number | 1710336789 |
|---|---|
| Provider Enumeration Date | 06/09/2016 |
| Last Update Date | 06/09/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710336789 | NPI | - | NPPES |
| 412445600 | Medicaid | MD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | MH-1960 (Maryland) | Primary |
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | MH-1960 (Maryland) | Secondary |
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