Provider Demographics
NPI:1649538695
Name:JP AND P HEALTHCARE AGENCY INC.
Entity type:Organization
Organization Name:JP AND P HEALTHCARE AGENCY INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:JOY
Authorized Official - Middle Name:LFEYINWA
Authorized Official - Last Name:FLETCHER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:214-772-6422
Mailing Address - Street 1:11551 FOREST CENTRAL DR STE 101
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75243-3913
Mailing Address - Country:US
Mailing Address - Phone:214-404-1509
Mailing Address - Fax:214-647-1866
Practice Address - Street 1:11551 FOREST CENTRAL DR STE 101
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75243-3913
Practice Address - Country:US
Practice Address - Phone:214-404-1509
Practice Address - Fax:214-647-1866
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-04-27
Last Update Date:2024-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX013153251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health