Provider Demographics
NPI:1427889229
Name:JMKW GROUP LLC
Entity type:Organization
Organization Name:JMKW GROUP LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SOLE MBR
Authorized Official - Prefix:MRS
Authorized Official - First Name:JOSUE
Authorized Official - Middle Name:
Authorized Official - Last Name:ST JULES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:774-225-4437
Mailing Address - Street 1:14 BELLEVIEW ST
Mailing Address - Street 2:
Mailing Address - City:HUDSON
Mailing Address - State:MA
Mailing Address - Zip Code:01749-2511
Mailing Address - Country:US
Mailing Address - Phone:774-225-4437
Mailing Address - Fax:
Practice Address - Street 1:14 BELLEVIEW ST
Practice Address - Street 2:
Practice Address - City:HUDSON
Practice Address - State:MA
Practice Address - Zip Code:01749-2511
Practice Address - Country:US
Practice Address - Phone:774-225-4437
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-08-12
Last Update Date:2024-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care