Provider Demographics
NPI:1679955413
Name:JLW, INC. LLC
Entity Type:Organization
Organization Name:JLW, INC. LLC
Other - Org Name:JLW HOME HEALTH CARE SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO OF JLW HHCS
Authorized Official - Prefix:MRS
Authorized Official - First Name:JOYCE
Authorized Official - Middle Name:L
Authorized Official - Last Name:WILLIAMS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:443-824-9689
Mailing Address - Street 1:5202 DERBY MANOR LN
Mailing Address - Street 2:
Mailing Address - City:UPPER MARLBORO
Mailing Address - State:MD
Mailing Address - Zip Code:20772-2996
Mailing Address - Country:US
Mailing Address - Phone:443-824-9689
Mailing Address - Fax:
Practice Address - Street 1:5202 DERBY MANOR LN
Practice Address - Street 2:
Practice Address - City:UPPER MARLBORO
Practice Address - State:MD
Practice Address - Zip Code:20772-2996
Practice Address - Country:US
Practice Address - Phone:443-824-9689
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-06-28
Last Update Date:2015-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health