Provider Demographics
NPI:1780008490
Name:JESSICA ROWE ELDERCARE CONSULTING, LLC
Entity Type:Organization
Organization Name:JESSICA ROWE ELDERCARE CONSULTING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JESSICA
Authorized Official - Middle Name:
Authorized Official - Last Name:ROWE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:443-980-2914
Mailing Address - Street 1:PO BOX 1475
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:MD
Mailing Address - Zip Code:21044-0475
Mailing Address - Country:US
Mailing Address - Phone:443-980-2914
Mailing Address - Fax:410-740-4577
Practice Address - Street 1:6008 FLYWHEEL CT
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:MD
Practice Address - Zip Code:21044-3686
Practice Address - Country:US
Practice Address - Phone:443-980-2914
Practice Address - Fax:410-740-4577
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-02-17
Last Update Date:2014-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD05090251B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management