Provider Demographics
NPI:1669199667
Name:JCFY LLC
Entity type:Organization
Organization Name:JCFY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT/GENERAL MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:SHERISHA
Authorized Official - Middle Name:RACQUWEL
Authorized Official - Last Name:ONWE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:210-383-1348
Mailing Address - Street 1:12818 FLORIANNE
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78253-6152
Mailing Address - Country:US
Mailing Address - Phone:210-854-8105
Mailing Address - Fax:
Practice Address - Street 1:12818 FLORIANNE
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78253-6152
Practice Address - Country:US
Practice Address - Phone:210-854-8105
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-10-21
Last Update Date:2022-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care