National Provider Identifier Database

JEWISH SOCIAL SERVICE AGENCY
Hospice Care, Community Based


Contact Information

JEWISH SOCIAL SERVICE AGENCY
6123 MONTROSE RD
ROCKVILLE, MD20852-4860
Phone: 301-816-2616
Fax: 301-468-1862
Website:
Specialty Taxonomy Code
* Hospice Care, Community Based 251G00000X

* Indicates primary specialty

NPI Profile & details for JEWISH SOCIAL SERVICE AGENCY

NPI Number 1154512440
Legal business name
LBN
JEWISH SOCIAL SERVICE AGENCY
Authorized official ROBERT JOHNSON - (CHIEF FINANCIAL OFFICER)
Entity Organization
Organization subpart No
Enumeration date 08/05/2007
Last updated 09/24/2007 - About 19 years ago
Sole proprietor1 Not specified
Identifiers
  • MD Medicaid: 553241800

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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