Provider Demographics
NPI:1023361193
Name:FJR CARE SERVICES LLC
Entity Type:Organization
Organization Name:FJR CARE SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:
Authorized Official - Last Name:RUEDA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:702-421-2073
Mailing Address - Street 1:2422 SWIFTON CT
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89104-5074
Mailing Address - Country:US
Mailing Address - Phone:702-421-2071
Mailing Address - Fax:702-421-2785
Practice Address - Street 1:2422 SWIFTON CT
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89104-5074
Practice Address - Country:US
Practice Address - Phone:702-421-2071
Practice Address - Fax:702-421-2785
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-10-25
Last Update Date:2012-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225400000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRehabilitation PractitionerGroup - Single Specialty