Provider Demographics
NPI:1780988618
Name:JMJ HEALTHCARE INCORPORATED
Entity type:Organization
Organization Name:JMJ HEALTHCARE INCORPORATED
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:REYNOLDS
Authorized Official - Middle Name:FRANCIS
Authorized Official - Last Name:COREA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:484-328-1705
Mailing Address - Street 1:1055 WESTLAKES DR
Mailing Address - Street 2:SUITE 300
Mailing Address - City:BERWYN
Mailing Address - State:PA
Mailing Address - Zip Code:19312-2410
Mailing Address - Country:US
Mailing Address - Phone:484-328-1705
Mailing Address - Fax:484-328-1703
Practice Address - Street 1:1055 WESTLAKES DR
Practice Address - Street 2:SUITE 300
Practice Address - City:BERWYN
Practice Address - State:PA
Practice Address - Zip Code:19312-2410
Practice Address - Country:US
Practice Address - Phone:484-328-1705
Practice Address - Fax:484-328-1703
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-01-06
Last Update Date:2011-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA20553601251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health