Provider Demographics
NPI:1710233556
Name:JPMK ENTERPRISES, LLC
Entity Type:Organization
Organization Name:JPMK ENTERPRISES, LLC
Other - Org Name:THE LICE PLACE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT/CEO/OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:PENNY
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:WARNER
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:281-723-3924
Mailing Address - Street 1:4007 BELLAIRE BLVD
Mailing Address - Street 2:SUITE GG
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77025-1166
Mailing Address - Country:US
Mailing Address - Phone:281-723-3924
Mailing Address - Fax:713-667-5420
Practice Address - Street 1:4007 BELLAIRE BLVD
Practice Address - Street 2:SUITE GG
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77025-1166
Practice Address - Country:US
Practice Address - Phone:281-723-3924
Practice Address - Fax:713-667-5420
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-07-30
Last Update Date:2014-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX613434163W00000X, 374700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163W00000XNursing Service ProvidersRegistered NurseGroup - Single Specialty
No374700000XNursing Service Related ProvidersTechnicianGroup - Single Specialty