Provider Demographics
NPI:1225437023
Name:L&J ENTERPRISES, LLC
Entity Type:Organization
Organization Name:L&J ENTERPRISES, LLC
Other - Org Name:CARE&ASSIST
Other - Org Type:Doing Business As
Authorized Official - Title/Position:GENERAL MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:LAKITA
Authorized Official - Middle Name:
Authorized Official - Last Name:CAVIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:901-612-0670
Mailing Address - Street 1:243 WILLIAMS AVE
Mailing Address - Street 2:
Mailing Address - City:SLEDGE
Mailing Address - State:MS
Mailing Address - Zip Code:38670-9655
Mailing Address - Country:US
Mailing Address - Phone:901-612-0670
Mailing Address - Fax:
Practice Address - Street 1:243 WILLIAMS AVE
Practice Address - Street 2:
Practice Address - City:SLEDGE
Practice Address - State:MS
Practice Address - Zip Code:38670-9655
Practice Address - Country:US
Practice Address - Phone:901-612-0670
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-08-18
Last Update Date:2014-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care