| Jenkinson Co Llc | |
|
500 S Winmere Ave Selma IN 47383-9427 | |
| (765) 748-8328 | |
| Not Available |
| Full Name | Jenkinson Co Llc |
|---|---|
| Speciality | Community Health Worker |
| Location | 500 S Winmere Ave, Selma, Indiana |
| Authorized Official Name and Position | Makayla Blackmer (OWNER) |
| Authorized Official Contact | 7657488328 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jenkinson Co Llc 500 S Winmere Ave Selma IN 47383-9427 Ph: (765) 748-8328 | Jenkinson Co Llc 500 S Winmere Ave Selma IN 47383-9427 Ph: (765) 748-8328 |
| NPI Number | 1346989993 |
|---|---|
| Provider Enumeration Date | 06/01/2022 |
| Last Update Date | 06/01/2022 |
| Certification Date | 06/01/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346989993 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
| 172V00000X | Community Health Worker | (* (Not Available)) | Primary |
Stacy Wright Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 5505 S County Road 475 E, Selma, IN 47383 Phone: 219-714-7147 Fax: 219-627-1887 |