Provider Demographics
NPI:1649047275
Name:JEAN DORA CARE CONSULTANTS, LLC
Entity type:Organization
Organization Name:JEAN DORA CARE CONSULTANTS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:LAUREN
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:RICKS
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:610-613-3652
Mailing Address - Street 1:530 MILMONT AVE
Mailing Address - Street 2:
Mailing Address - City:FOLSOM
Mailing Address - State:PA
Mailing Address - Zip Code:19033-3125
Mailing Address - Country:US
Mailing Address - Phone:610-613-3652
Mailing Address - Fax:
Practice Address - Street 1:530 MILMONT AVE
Practice Address - Street 2:
Practice Address - City:FOLSOM
Practice Address - State:PA
Practice Address - Zip Code:19033-3125
Practice Address - Country:US
Practice Address - Phone:610-613-3652
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-12-04
Last Update Date:2023-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care