J & J RESIDENTIAL SERVICES INCORPORATED; NPI #1912208133

Contact Information

J & J RESIDENTIAL SERVICES INCORPORATED

43 GREENE STREET
SMITHFIELD, OH 43948

Phone: 740-733-7095
Fax: 740-733-8509
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Respite Care, Intellectual and/or Developmental Disabilities	385HR2060X

Indicates primary specialty

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NPI Profile & details for J & J RESIDENTIAL SERVICES INCORPORATED

NPI # 1912208133

LBN Legal business name J & J RESIDENTIAL SERVICES INCORPORATED

Authorized official DONALD CLINE - (OWNER/PRESIDENT)

Entity Organization

Organization subpart ¹ No

Enumeration date 11/04/2010

Last updated 11/04/2010 - About 16 years ago

Identifiers

OH	License #	4110054
OH	Other	4100574	MEDICAID

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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J & J RESIDENTIAL SERVICES INCORPORATED

Contact Information

Specialty

Respite Care, Intellectual and/or Developmental Disabilities

NPI Profile & details for J & J RESIDENTIAL SERVICES INCORPORATED

Reviews for J & J RESIDENTIAL SERVICES INCORPORATED