Provider Demographics
NPI:1417401761
Name:JEY & ASSOCIATES, LC
Entity Type:Organization
Organization Name:JEY & ASSOCIATES, LC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:GENNICE
Authorized Official - Middle Name:JENAIL
Authorized Official - Last Name:WILLIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:405-313-8685
Mailing Address - Street 1:12017 DAHOON DR
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73120-8131
Mailing Address - Country:US
Mailing Address - Phone:405-313-8685
Mailing Address - Fax:877-719-2739
Practice Address - Street 1:12017 DAHOON DR
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73120-8131
Practice Address - Country:US
Practice Address - Phone:405-313-8685
Practice Address - Fax:877-719-2739
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-08-04
Last Update Date:2016-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK37V261041204251E00000X, 253Z00000X
OK37H041801211251J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care
No251E00000XAgenciesHome Health
No253Z00000XAgenciesIn Home Supportive Care