Provider Demographics
NPI:1467062430
Name:JCO AGENCY LLC
Entity Type:Organization
Organization Name:JCO AGENCY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:JOSELYN
Authorized Official - Middle Name:CHRISTINE
Authorized Official - Last Name:OHANNON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:267-463-8093
Mailing Address - Street 1:2283 JENKINTOWN RD
Mailing Address - Street 2:
Mailing Address - City:GLENSIDE
Mailing Address - State:PA
Mailing Address - Zip Code:19038-5026
Mailing Address - Country:US
Mailing Address - Phone:267-463-8098
Mailing Address - Fax:
Practice Address - Street 1:2283 JENKINTOWN RD
Practice Address - Street 2:
Practice Address - City:GLENSIDE
Practice Address - State:PA
Practice Address - Zip Code:19038-5026
Practice Address - Country:US
Practice Address - Phone:267-463-8098
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-08-05
Last Update Date:2020-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health