Provider Demographics
NPI:1720126204
Name:JAM SENIOR SERVICES LLC
Entity type:Organization
Organization Name:JAM SENIOR SERVICES LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR OF OPERATIONS
Authorized Official - Prefix:MRS
Authorized Official - First Name:MARYANN
Authorized Official - Middle Name:
Authorized Official - Last Name:MADSEN
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:810-229-0200
Mailing Address - Street 1:2980 DORR RD
Mailing Address - Street 2:SUITE 102
Mailing Address - City:BRIGHTON
Mailing Address - State:MI
Mailing Address - Zip Code:48116-9459
Mailing Address - Country:US
Mailing Address - Phone:810-229-0200
Mailing Address - Fax:810-220-7916
Practice Address - Street 1:2980 DORR RD
Practice Address - Street 2:SUITE 102
Practice Address - City:BRIGHTON
Practice Address - State:MI
Practice Address - Zip Code:48116-9459
Practice Address - Country:US
Practice Address - Phone:810-229-0200
Practice Address - Fax:810-220-7916
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-05
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes372500000XNursing Service Related ProvidersChore ProviderGroup - Single Specialty