Provider Demographics
NPI:1790947364
Name:DR. JANNAH'S HOME HEALTHCARE, INC.
Entity Type:Organization
Organization Name:DR. JANNAH'S HOME HEALTHCARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:KHADIJA
Authorized Official - Middle Name:JOWHARAH
Authorized Official - Last Name:JANNAH
Authorized Official - Suffix:
Authorized Official - Credentials:EDD
Authorized Official - Phone:972-224-0917
Mailing Address - Street 1:1358 KENTUCKY AVE
Mailing Address - Street 2:
Mailing Address - City:LANCASTER
Mailing Address - State:TX
Mailing Address - Zip Code:75134-1689
Mailing Address - Country:US
Mailing Address - Phone:972-224-0917
Mailing Address - Fax:972-224-0917
Practice Address - Street 1:1358 KENTUCKY AVE
Practice Address - Street 2:
Practice Address - City:LANCASTER
Practice Address - State:TX
Practice Address - Zip Code:75134-1689
Practice Address - Country:US
Practice Address - Phone:972-224-0917
Practice Address - Fax:972-224-0917
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-06-25
Last Update Date:2008-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health