Provider Demographics
NPI:1942971387
Name:JUCIL HOME CARE LLC
Entity Type:Organization
Organization Name:JUCIL HOME CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:IZUCHUKWU
Authorized Official - Middle Name:
Authorized Official - Last Name:MEGWA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:770-702-0095
Mailing Address - Street 1:2399 PARK ESTATES DR
Mailing Address - Street 2:
Mailing Address - City:SNELLVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30078-6852
Mailing Address - Country:US
Mailing Address - Phone:770-702-0995
Mailing Address - Fax:
Practice Address - Street 1:2399 PARK ESTATES DR
Practice Address - Street 2:
Practice Address - City:SNELLVILLE
Practice Address - State:GA
Practice Address - Zip Code:30078-6852
Practice Address - Country:US
Practice Address - Phone:770-702-0995
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-09-24
Last Update Date:2021-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care