Provider Demographics
NPI:1720324767
Name:JM FIRST CARE HEALTH SERVICES, INC.
Entity Type:Organization
Organization Name:JM FIRST CARE HEALTH SERVICES, INC.
Other - Org Name:JM FIRST CARE HEALTH SERVICES. INC
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:LPN NURSE
Authorized Official - Prefix:MS
Authorized Official - First Name:AISHA
Authorized Official - Middle Name:ABDALLAH
Authorized Official - Last Name:BWALU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:240-821-4782
Mailing Address - Street 1:19933 STONEY POINT WAY
Mailing Address - Street 2:
Mailing Address - City:GERMANTOWN
Mailing Address - State:MD
Mailing Address - Zip Code:20876-5568
Mailing Address - Country:US
Mailing Address - Phone:240-821-4782
Mailing Address - Fax:202-621-7369
Practice Address - Street 1:19933 STONEY POINT WAY
Practice Address - Street 2:
Practice Address - City:GERMANTOWN
Practice Address - State:MD
Practice Address - Zip Code:20876-5568
Practice Address - Country:US
Practice Address - Phone:240-821-4782
Practice Address - Fax:202-621-7369
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-12-19
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DC251E00000X, 251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health