Provider Demographics
NPI:1518550607
Name:JENKINS, JAMELA (HOME CARE AGENCY)
Entity Type:Individual
Prefix:
First Name:JAMELA
Middle Name:
Last Name:JENKINS
Suffix:
Gender:F
Credentials:HOME CARE AGENCY
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 36021
Mailing Address - Street 2:
Mailing Address - City:GROSSE POINTE FARMS
Mailing Address - State:MI
Mailing Address - Zip Code:48236-0021
Mailing Address - Country:US
Mailing Address - Phone:313-915-8941
Mailing Address - Fax:
Practice Address - Street 1:18741 CHANDLER PARK DR
Practice Address - Street 2:
Practice Address - City:GROSSE POINTE
Practice Address - State:MI
Practice Address - Zip Code:48236-2121
Practice Address - Country:US
Practice Address - Phone:313-915-8941
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-02-19
Last Update Date:2021-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health