Provider Demographics
NPI:1427751080
Name:JECTROL MS HEALTHCARE SERVICES
Entity type:Organization
Organization Name:JECTROL MS HEALTHCARE SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JEANNE L
Authorized Official - Middle Name:F
Authorized Official - Last Name:KIA
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:781-812-5268
Mailing Address - Street 1:30 DEER HILL RD
Mailing Address - Street 2:
Mailing Address - City:GARDNER
Mailing Address - State:MA
Mailing Address - Zip Code:01440-2800
Mailing Address - Country:US
Mailing Address - Phone:781-812-5268
Mailing Address - Fax:
Practice Address - Street 1:30 DEER HILL RD
Practice Address - Street 2:
Practice Address - City:GARDNER
Practice Address - State:MA
Practice Address - Zip Code:01440-2800
Practice Address - Country:US
Practice Address - Phone:781-812-5268
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-03-23
Last Update Date:2023-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health