Provider Demographics
NPI:1912254020
Name:JCS HEALTH CARE SERVICES
Entity type:Organization
Organization Name:JCS HEALTH CARE SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPERATIONS MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:SHANNON
Authorized Official - Middle Name:LEIGH
Authorized Official - Last Name:ELIZABETH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:610-760-3075
Mailing Address - Street 1:246 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:SLATINGTON
Mailing Address - State:PA
Mailing Address - Zip Code:18080-1535
Mailing Address - Country:US
Mailing Address - Phone:610-760-3075
Mailing Address - Fax:610-760-3113
Practice Address - Street 1:246 MAIN ST
Practice Address - Street 2:
Practice Address - City:SLATINGTON
Practice Address - State:PA
Practice Address - Zip Code:18080-1535
Practice Address - Country:US
Practice Address - Phone:610-760-3075
Practice Address - Fax:610-760-3113
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-08-08
Last Update Date:2012-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA22873601251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health