| Jls Services, Llc | |
|
300 Gilman Ln Unit 102 Raleigh NC 27610-2584 | |
| (919) 625-1945 | |
| (866) 523-1694 |
| Full Name | Jls Services, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 300 Gilman Ln, Raleigh, North Carolina |
| Authorized Official Name and Position | Latonya D Johnson (CEO) |
| Authorized Official Contact | 9196251945 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jls Services, Llc 300 Gilman Ln Unit 102 Raleigh NC 27610-2584 Ph: (919) 625-1945 | Jls Services, Llc 300 Gilman Ln Unit 102 Raleigh NC 27610-2584 Ph: (919) 625-1945 |
| NPI Number | 1134497456 |
|---|---|
| Provider Enumeration Date | 12/01/2011 |
| Last Update Date | 12/01/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134497456 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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