Jajuan Nolley
Individual provider Active NPI In Home Supportive Care Agency · Oxford, GA
NPI 1487312690 · NPPES record last updated Dec 5, 2021
Key facts
- NPI
- 1487312690
- Entity type
- Individual (NPI type 1)
- Primary specialty
- In Home Supportive Care Agency 253Z00000X
- Practice address
- 148 Marble Dr
Oxford, GA 30054-4138 - Phone
- (470) 262-8782
- NPI assigned
- Dec 5, 2021
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| In Home Supportive Care Agency | 253Z00000X | Yes |
Addresses
Primary practice location
148 Marble Dr
Oxford, GA 30054-4138
Mailing address
148 Marble Dr
Oxford, GA 30054-4138
Phone (470) 262-8782
Other providers in Oxford, GA
- Homecare Human Resource, LLC
- Homecare Human Resource, LLC.
- Cherene A Jarrett
- Sherie D Myers
- Erica Neal
- Catherine Papachristou
- Katelyn Paul
- Physician Home Services, LLC
- Carla Rakestrw
- Justin Ramkissoon
All providers in Oxford, GA · In Home Supportive Care Agency in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 5, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.