| Organization Name: | JIREH LIVING ASSISTANCE SERVICE LLC |
| NPI Number: | 1487918892 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MIGDALIA ITZEL OLMOS (PRESIDENT) |
| Mailing Address: | 3515 Preston Ave Ste 203 Pasadena |
| State: | TX US |
| Postal Code: | 775052035 |
| Phone Number: | 2817039147 |
| Fax Number: | 7135832003 |
| NPI Enumeration Date: | 06/29/2012 |
| NPI Last Update Date: | 02/11/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 253Z00000X |
| License Number: | NA08637069 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Agencies |
| Taxonomy Classification: | In Home Supportive Care |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An In Home Supportive Care Agency provides services in the patient |