Provider Demographics
NPI:1093402067
Name:GARNET MJS LLC
Entity Type:Organization
Organization Name:GARNET MJS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MORGAN
Authorized Official - Middle Name:
Authorized Official - Last Name:SCHLIEM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:201-627-2707
Mailing Address - Street 1:7922 JOHN F KENNEDY SUITE
Mailing Address - Street 2:SUITE 2
Mailing Address - City:NORTH BERGEN
Mailing Address - State:NJ
Mailing Address - Zip Code:07047
Mailing Address - Country:US
Mailing Address - Phone:201-266-0423
Mailing Address - Fax:
Practice Address - Street 1:7922 JOHN F KENNEDY SUITE 2
Practice Address - Street 2:
Practice Address - City:NORTH BERGEN
Practice Address - State:NJ
Practice Address - Zip Code:07047-0703
Practice Address - Country:US
Practice Address - Phone:201-627-2707
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-04-20
Last Update Date:2023-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care