Provider Demographics
NPI:1477176923
Name:R & J HEALTH CARE
Entity Type:Organization
Organization Name:R & J HEALTH CARE
Other - Org Name:R&J REHAB SERVICES
Other - Org Type:Other Name
Authorized Official - Title/Position:PHYSICAL THERAPIST
Authorized Official - Prefix:MR
Authorized Official - First Name:RAMON
Authorized Official - Middle Name:LEE
Authorized Official - Last Name:ECTOR
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:770-731-1114
Mailing Address - Street 1:6853B DOUGLAS BLVD STE B
Mailing Address - Street 2:
Mailing Address - City:DOUGLASVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30135
Mailing Address - Country:US
Mailing Address - Phone:770-731-1114
Mailing Address - Fax:404-682-1396
Practice Address - Street 1:6853B DOUGLAS BLVD STE B
Practice Address - Street 2:
Practice Address - City:DOUGLASVILLE
Practice Address - State:GA
Practice Address - Zip Code:30135
Practice Address - Country:US
Practice Address - Phone:770-731-1114
Practice Address - Fax:404-682-1396
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-05-19
Last Update Date:2020-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy