| Organization Name: | JRFAYASH, INC |
| NPI Number: | 1245584713 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JENNIFER FAYASH (OWNER/AGENCY DIRECTOR) |
| Mailing Address: | 2525 Route 115 Effort |
| State: | PA US |
| Postal Code: | 183309520 |
| Phone Number: | 5702343892 |
| Fax Number: | 8669508109 |
| NPI Enumeration Date: | 11/05/2012 |
| NPI Last Update Date: | 11/06/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 253Z00000X |
| License Number: | 21803601 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PA |
| Taxonomy Type: | Agencies |
| Taxonomy Classification: | In Home Supportive Care |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An In Home Supportive Care Agency provides services in the patient |