Provider Demographics
NPI:1396197778
Name:VJL HEALTH SERVICES LLC
Entity Type:Organization
Organization Name:VJL HEALTH SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING PARTNER
Authorized Official - Prefix:MR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:TEKERA
Authorized Official - Last Name:TEZI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:901-734-1944
Mailing Address - Street 1:14013 WESTVIEW FOREST DR
Mailing Address - Street 2:
Mailing Address - City:BOWIE
Mailing Address - State:MD
Mailing Address - Zip Code:20720-4867
Mailing Address - Country:US
Mailing Address - Phone:901-734-1944
Mailing Address - Fax:
Practice Address - Street 1:105 AUTUMN LEAF DR
Practice Address - Street 2:
Practice Address - City:MARTINSBURG
Practice Address - State:WV
Practice Address - Zip Code:25401-2990
Practice Address - Country:US
Practice Address - Phone:901-734-1944
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-07-08
Last Update Date:2017-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health