Provider Demographics
NPI:1972036895
Name:J & L HOME CARE SERVICE
Entity Type:Organization
Organization Name:J & L HOME CARE SERVICE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SADE
Authorized Official - Middle Name:
Authorized Official - Last Name:STAFFNEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:989-501-4968
Mailing Address - Street 1:2316 PERKINS ST
Mailing Address - Street 2:
Mailing Address - City:SAGINAW
Mailing Address - State:MI
Mailing Address - Zip Code:48601-1518
Mailing Address - Country:US
Mailing Address - Phone:989-501-4968
Mailing Address - Fax:
Practice Address - Street 1:2316 PERKINS ST
Practice Address - Street 2:
Practice Address - City:SAGINAW
Practice Address - State:MI
Practice Address - Zip Code:48601-1518
Practice Address - Country:US
Practice Address - Phone:989-501-4968
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:J & L AFC HOME
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2017-04-07
Last Update Date:2017-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health