Provider Demographics
NPI:1558688143
Name:JOLIKIM HOME HEALTH SERVICES INC.
Entity Type:Organization
Organization Name:JOLIKIM HOME HEALTH SERVICES INC.
Other - Org Name:PHYSICAL THERAPY SERVICES CONNECTION
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:LINDA
Authorized Official - Middle Name:JOYCE
Authorized Official - Last Name:MARQUEZ
Authorized Official - Suffix:
Authorized Official - Credentials:MS, PT, MBA
Authorized Official - Phone:818-502-2121
Mailing Address - Street 1:601 E GLENOAKS BLVD
Mailing Address - Street 2:STE. 108
Mailing Address - City:GLENDALE
Mailing Address - State:CA
Mailing Address - Zip Code:91207-1700
Mailing Address - Country:US
Mailing Address - Phone:818-502-2121
Mailing Address - Fax:818-502-2124
Practice Address - Street 1:601 E GLENOAKS BLVD
Practice Address - Street 2:STE. 108
Practice Address - City:GLENDALE
Practice Address - State:CA
Practice Address - Zip Code:91207-1700
Practice Address - Country:US
Practice Address - Phone:818-502-2121
Practice Address - Fax:818-502-2124
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-04-23
Last Update Date:2010-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA34739261QP2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy