Provider Demographics
NPI:1114423332
Name:J AND T HEALTH CARE SERVICES INC.
Entity Type:Organization
Organization Name:J AND T HEALTH CARE SERVICES INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ASSISTANT CEO
Authorized Official - Prefix:
Authorized Official - First Name:TAJUANA
Authorized Official - Middle Name:LYNNE
Authorized Official - Last Name:HOOKER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:980-643-7450
Mailing Address - Street 1:5513 MONROE RD STE 208
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28212-5503
Mailing Address - Country:US
Mailing Address - Phone:980-643-7450
Mailing Address - Fax:
Practice Address - Street 1:5513 MONROE RD. STE. 208
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28212-6366
Practice Address - Country:US
Practice Address - Phone:980-643-7450
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-04-05
Last Update Date:2018-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health