Provider Demographics
NPI:1275946634
Name:JICHA COMMUNICATION SERVICES
Entity Type:Organization
Organization Name:JICHA COMMUNICATION SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:JILL
Authorized Official - Middle Name:
Authorized Official - Last Name:STANFORD-JICHA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:443-207-2479
Mailing Address - Street 1:306 S MAIN ST
Mailing Address - Street 2:
Mailing Address - City:NORTH EAST
Mailing Address - State:MD
Mailing Address - Zip Code:21901-3916
Mailing Address - Country:US
Mailing Address - Phone:443-207-2479
Mailing Address - Fax:
Practice Address - Street 1:306 S MAIN ST
Practice Address - Street 2:
Practice Address - City:NORTH EAST
Practice Address - State:MD
Practice Address - Zip Code:21901-3916
Practice Address - Country:US
Practice Address - Phone:443-207-2479
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-06-03
Last Update Date:2014-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DE251C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services