Provider Demographics
NPI:1760874226
Name:J.A.M., INC.
Entity Type:Organization
Organization Name:J.A.M., INC.
Other - Org Name:SOUTH VIEW LIVING CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:MARY
Authorized Official - Middle Name:
Authorized Official - Last Name:TEN EYCK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:507-834-6510
Mailing Address - Street 1:555 E 12TH ST
Mailing Address - Street 2:
Mailing Address - City:GIBBON
Mailing Address - State:MN
Mailing Address - Zip Code:55335-3136
Mailing Address - Country:US
Mailing Address - Phone:507-834-6510
Mailing Address - Fax:507-834-6511
Practice Address - Street 1:555 E 12TH ST
Practice Address - Street 2:
Practice Address - City:GIBBON
Practice Address - State:MN
Practice Address - Zip Code:55335-3136
Practice Address - Country:US
Practice Address - Phone:507-834-6510
Practice Address - Fax:507-834-6511
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-02-20
Last Update Date:2015-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility