Provider Demographics
NPI:1093399065
Name:JME MISSION , INC.
Entity Type:Organization
Organization Name:JME MISSION , INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JASON
Authorized Official - Middle Name:
Authorized Official - Last Name:EDDY
Authorized Official - Suffix:
Authorized Official - Credentials:CSA
Authorized Official - Phone:310-430-0483
Mailing Address - Street 1:1976 S LA CIENEGA BLVD STE 623
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90034-1627
Mailing Address - Country:US
Mailing Address - Phone:310-430-0483
Mailing Address - Fax:888-885-9768
Practice Address - Street 1:4414 PARK JAZMIN
Practice Address - Street 2:
Practice Address - City:CALABASAS
Practice Address - State:CA
Practice Address - Zip Code:91302-1723
Practice Address - Country:US
Practice Address - Phone:310-430-0483
Practice Address - Fax:888-885-9768
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-05-06
Last Update Date:2021-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management