Provider Demographics
NPI:1548395643
Name:JML CARE CENTER
Entity Type:Organization
Organization Name:JML CARE CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADULT DAY HEALTH DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:BOBBEE
Authorized Official - Middle Name:
Authorized Official - Last Name:FRAZER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:508-457-4621
Mailing Address - Street 1:184 TER HEUN DR
Mailing Address - Street 2:
Mailing Address - City:FALMOUTH
Mailing Address - State:MA
Mailing Address - Zip Code:02540-2503
Mailing Address - Country:US
Mailing Address - Phone:508-457-4621
Mailing Address - Fax:508-457-1218
Practice Address - Street 1:184 TER HEUN DR
Practice Address - Street 2:
Practice Address - City:FALMOUTH
Practice Address - State:MA
Practice Address - Zip Code:02540-2503
Practice Address - Country:US
Practice Address - Phone:508-457-4621
Practice Address - Fax:508-457-1218
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-22
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA0917261QA0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA1948628Medicaid