Provider Demographics
NPI:1245844372
Name:MAKAAM SERVICES, LLC
Entity type:Organization
Organization Name:MAKAAM SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:SANDY
Authorized Official - Middle Name:BEN
Authorized Official - Last Name:KAMANDA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:904-400-4033
Mailing Address - Street 1:9974 TIMBER FALLS LN
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32219-4357
Mailing Address - Country:US
Mailing Address - Phone:904-674-5211
Mailing Address - Fax:904-674-5211
Practice Address - Street 1:9974 TIMBER FALLS LN
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32219-4357
Practice Address - Country:US
Practice Address - Phone:904-400-4033
Practice Address - Fax:904-674-5211
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-09-05
Last Update Date:2020-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes376J00000XNursing Service Related ProvidersHomemakerGroup - Single Specialty