Provider Demographics
NPI:1275736258
Name:JAS LINKS HEALTH CARE SERVICES AND MEDICAL SUPPLY
Entity Type:Organization
Organization Name:JAS LINKS HEALTH CARE SERVICES AND MEDICAL SUPPLY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:FRANKLIN
Authorized Official - Middle Name:
Authorized Official - Last Name:EZEOKE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:404-806-0507
Mailing Address - Street 1:2775 CRUSE RD
Mailing Address - Street 2:STE 1901
Mailing Address - City:LAWRENCEVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30044-7140
Mailing Address - Country:US
Mailing Address - Phone:404-806-0507
Mailing Address - Fax:
Practice Address - Street 1:2775 CRUSE RD
Practice Address - Street 2:STE 1901
Practice Address - City:LAWRENCEVILLE
Practice Address - State:GA
Practice Address - Zip Code:30044-7140
Practice Address - Country:US
Practice Address - Phone:404-806-0507
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-07
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health