Provider Demographics
NPI:1609205855
Name:J.A.M. NURSE DELEGATION SERVICES
Entity Type:Organization
Organization Name:J.A.M. NURSE DELEGATION SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:RN
Authorized Official - Prefix:MS
Authorized Official - First Name:JERRI
Authorized Official - Middle Name:ANNE
Authorized Official - Last Name:MARTIAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:509-426-2622
Mailing Address - Street 1:55 W WASHINGTON AVE UNIT 165
Mailing Address - Street 2:
Mailing Address - City:YAKIMA
Mailing Address - State:WA
Mailing Address - Zip Code:98903
Mailing Address - Country:US
Mailing Address - Phone:509-426-2622
Mailing Address - Fax:509-426-2616
Practice Address - Street 1:55 W WASHINGTON AVE UNIT 165
Practice Address - Street 2:
Practice Address - City:YAKIMA
Practice Address - State:WA
Practice Address - Zip Code:98903-2258
Practice Address - Country:US
Practice Address - Phone:509-426-2622
Practice Address - Fax:509-426-2616
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-11-08
Last Update Date:2013-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WARN00116189311ZA0620X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes311ZA0620XNursing & Custodial Care FacilitiesCustodial Care FacilityAdult Care Home