Provider Demographics
NPI:1689815532
Name:PS JAMES ENTERPRISES, INC
Entity Type:Organization
Organization Name:PS JAMES ENTERPRISES, INC
Other - Org Name:COMFORT KEEPERS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:SHERRY
Authorized Official - Middle Name:DELAINA
Authorized Official - Last Name:JAMES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:573-339-1777
Mailing Address - Street 1:2230 BOULDER CREST DR
Mailing Address - Street 2:
Mailing Address - City:CAPE GIRARDEAU
Mailing Address - State:MO
Mailing Address - Zip Code:63701-2141
Mailing Address - Country:US
Mailing Address - Phone:573-339-1777
Mailing Address - Fax:888-868-1162
Practice Address - Street 1:225 SHERIDAN DR
Practice Address - Street 2:
Practice Address - City:CAPE GIRARDEAU
Practice Address - State:MO
Practice Address - Zip Code:63703-5939
Practice Address - Country:US
Practice Address - Phone:573-339-1777
Practice Address - Fax:888-868-1162
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-03-23
Last Update Date:2009-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health