Provider Demographics
NPI:1306696695
Name:J & P QUALITY HOME CARE SERVICES
Entity type:Organization
Organization Name:J & P QUALITY HOME CARE SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPERATIONS DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:JANERE
Authorized Official - Middle Name:LARON
Authorized Official - Last Name:DAVIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:313-549-1292
Mailing Address - Street 1:620 KINGS HWY
Mailing Address - Street 2:
Mailing Address - City:LINCOLN PARK
Mailing Address - State:MI
Mailing Address - Zip Code:48146-4608
Mailing Address - Country:US
Mailing Address - Phone:313-549-1292
Mailing Address - Fax:
Practice Address - Street 1:620 KINGS HWY
Practice Address - Street 2:
Practice Address - City:LINCOLN PARK
Practice Address - State:MI
Practice Address - Zip Code:48146-4608
Practice Address - Country:US
Practice Address - Phone:313-549-1292
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-03-27
Last Update Date:2024-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health