Provider Demographics
NPI:1306182282
Name:KBJ INTERNATIONAL INVESTMENTS LLC
Entity Type:Organization
Organization Name:KBJ INTERNATIONAL INVESTMENTS LLC
Other - Org Name:ISSEY HEALTHCARE SERVICES, LLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:KARENTON
Authorized Official - Middle Name:
Authorized Official - Last Name:MORDI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:973-207-5883
Mailing Address - Street 1:210 LOWER WAY RD
Mailing Address - Street 2:
Mailing Address - City:EASTON
Mailing Address - State:PA
Mailing Address - Zip Code:18045-8039
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:210 LOWER WAY RD
Practice Address - Street 2:
Practice Address - City:EASTON
Practice Address - State:PA
Practice Address - Zip Code:18045-8039
Practice Address - Country:US
Practice Address - Phone:973-207-5883
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-12-20
Last Update Date:2012-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health