| Jkt Services, Llc | |
|
1901 Huguenot Rd Ste 303 North Chesterfield VA 23235-4311 | |
| (804) 794-6247 | |
| (804) 794-6247 |
| Full Name | Jkt Services, Llc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 1901 Huguenot Rd, North Chesterfield, Virginia |
| Authorized Official Name and Position | Elizabeth Delores Dungee- Anderson (OWNER) |
| Authorized Official Contact | 8048401149 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jkt Services, Llc 1901 Huguenot Rd Ste 303 North Chesterfield VA 23235-4311 Ph: (804) 794-6247 | Jkt Services, Llc 1901 Huguenot Rd Ste 303 North Chesterfield VA 23235-4311 Ph: (804) 794-6247 |
| NPI Number | 1629518121 |
|---|---|
| Provider Enumeration Date | 03/02/2017 |
| Last Update Date | 07/05/2019 |
| Medicare PECOS PAC ID | 4183994429 |
|---|---|
| Medicare Enrollment ID | O20190925003613 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629518121 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 0904000543 (Virginia) | Primary |
| Provider Name | Elizabeth Delores Dungee-anderson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1689775009 PECOS PAC ID: 4486821550 Enrollment ID: I20130828000678 |
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