Provider Demographics
NPI:1972832350
Name:JAFAI HEALTH AND SUPPORT SERVICES
Entity Type:Organization
Organization Name:JAFAI HEALTH AND SUPPORT SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:FATIMA
Authorized Official - Middle Name:MARY
Authorized Official - Last Name:SAVAGE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:301-366-7538
Mailing Address - Street 1:11401 CHARLTON DR
Mailing Address - Street 2:
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20902-3106
Mailing Address - Country:US
Mailing Address - Phone:301-326-2488
Mailing Address - Fax:301-328-0034
Practice Address - Street 1:11401 CHARLTON DR
Practice Address - Street 2:
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20902-3106
Practice Address - Country:US
Practice Address - Phone:301-326-2488
Practice Address - Fax:301-328-0034
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-12-15
Last Update Date:2009-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD11951456251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health