Provider Demographics
NPI:1376138941
Name:J&L BUSINESS CENTER, LLC
Entity Type:Organization
Organization Name:J&L BUSINESS CENTER, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:LATOSHA
Authorized Official - Middle Name:CORINA
Authorized Official - Last Name:BEAMON
Authorized Official - Suffix:
Authorized Official - Credentials:QP
Authorized Official - Phone:336-954-6143
Mailing Address - Street 1:2102 CRESTRIDGE RD
Mailing Address - Street 2:
Mailing Address - City:GREENSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27403-3636
Mailing Address - Country:US
Mailing Address - Phone:336-954-6143
Mailing Address - Fax:
Practice Address - Street 1:6891 NEELY WAY
Practice Address - Street 2:
Practice Address - City:RURAL HALL
Practice Address - State:NC
Practice Address - Zip Code:27045-9611
Practice Address - Country:US
Practice Address - Phone:336-642-0945
Practice Address - Fax:336-642-0977
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-03-05
Last Update Date:2021-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes322D00000XResidential Treatment FacilitiesResidential Treatment Facility, Emotionally Disturbed Children