Provider Demographics
NPI:1316591712
Name:JOJAMONI HOMEHEALTH CARE LLC
Entity Type:Organization
Organization Name:JOJAMONI HOMEHEALTH CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:GRACE
Authorized Official - Middle Name:YUMBYA
Authorized Official - Last Name:MUTUTO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:469-450-7802
Mailing Address - Street 1:113 SILVERWOOD DR
Mailing Address - Street 2:
Mailing Address - City:MANSFIELD
Mailing Address - State:TX
Mailing Address - Zip Code:76063-6784
Mailing Address - Country:US
Mailing Address - Phone:469-450-7802
Mailing Address - Fax:
Practice Address - Street 1:113 SILVERWOOD DR
Practice Address - Street 2:
Practice Address - City:MANSFIELD
Practice Address - State:TX
Practice Address - Zip Code:76063-6784
Practice Address - Country:US
Practice Address - Phone:469-450-7802
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-07-25
Last Update Date:2019-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health