Provider Demographics
NPI:1316602949
Name:JUBILANT HEALTH SOLUTIONS
Entity Type:Organization
Organization Name:JUBILANT HEALTH SOLUTIONS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JANELL
Authorized Official - Middle Name:MICHELLE
Authorized Official - Last Name:WEEKS-SMITH
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:864-356-5178
Mailing Address - Street 1:2428 HOBART ST
Mailing Address - Street 2:
Mailing Address - City:MYRTLE BEACH
Mailing Address - State:SC
Mailing Address - Zip Code:29579-6702
Mailing Address - Country:US
Mailing Address - Phone:864-356-5178
Mailing Address - Fax:
Practice Address - Street 1:2428 HOBART ST
Practice Address - Street 2:
Practice Address - City:MYRTLE BEACH
Practice Address - State:SC
Practice Address - Zip Code:29579-6702
Practice Address - Country:US
Practice Address - Phone:864-356-5178
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-11-08
Last Update Date:2021-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes291U00000XLaboratoriesClinical Medical Laboratory
No163WH0200XNursing Service ProvidersRegistered NurseHome HealthGroup - Multi-Specialty
No251E00000XAgenciesHome Health