Provider Demographics
NPI:1356091482
Name:JEM AND GECON INC
Entity Type:Organization
Organization Name:JEM AND GECON INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MD
Authorized Official - Prefix:MRS
Authorized Official - First Name:IKPOGHODU
Authorized Official - Middle Name:LINA
Authorized Official - Last Name:OKAKPU
Authorized Official - Suffix:
Authorized Official - Credentials:CEO
Authorized Official - Phone:770-235-2468
Mailing Address - Street 1:105 KIVETON PARK DR
Mailing Address - Street 2:
Mailing Address - City:ROSWELL
Mailing Address - State:GA
Mailing Address - Zip Code:30075-2956
Mailing Address - Country:US
Mailing Address - Phone:770-235-2468
Mailing Address - Fax:
Practice Address - Street 1:105 KIVETON PARK DR
Practice Address - Street 2:
Practice Address - City:ROSWELL
Practice Address - State:GA
Practice Address - Zip Code:30075-2956
Practice Address - Country:US
Practice Address - Phone:770-235-2468
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-03-23
Last Update Date:2023-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health