Provider Demographics
NPI:1023397965
Name:CJ'S SENIOR CARE, INC.
Entity Type:Organization
Organization Name:CJ'S SENIOR CARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ALM
Authorized Official - Prefix:MRS
Authorized Official - First Name:JACKIE
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:SOWERS
Authorized Official - Suffix:
Authorized Official - Credentials:OWNER
Authorized Official - Phone:301-791-6186
Mailing Address - Street 1:145 KING ST
Mailing Address - Street 2:
Mailing Address - City:HAGERSTOWN
Mailing Address - State:MD
Mailing Address - Zip Code:21740-5732
Mailing Address - Country:US
Mailing Address - Phone:301-791-6186
Mailing Address - Fax:301-797-3306
Practice Address - Street 1:145 KING ST
Practice Address - Street 2:
Practice Address - City:HAGERSTOWN
Practice Address - State:MD
Practice Address - Zip Code:21740-5732
Practice Address - Country:US
Practice Address - Phone:301-791-6186
Practice Address - Fax:301-797-3306
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-08-10
Last Update Date:2011-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility