Provider Demographics
NPI:1518196633
Name:B2J SERVICES, INC
Entity Type:Organization
Organization Name:B2J SERVICES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:EBOLOSE
Authorized Official - Middle Name:
Authorized Official - Last Name:EGHOBOR
Authorized Official - Suffix:
Authorized Official - Credentials:REGISTERED NURSE
Authorized Official - Phone:407-733-2483
Mailing Address - Street 1:113 SILVERWOOD DR
Mailing Address - Street 2:
Mailing Address - City:MANSFIELD
Mailing Address - State:TX
Mailing Address - Zip Code:76063-6784
Mailing Address - Country:US
Mailing Address - Phone:407-733-2483
Mailing Address - Fax:
Practice Address - Street 1:113 SILVERWOOD DR
Practice Address - Street 2:
Practice Address - City:MANSFIELD
Practice Address - State:TX
Practice Address - Zip Code:76063-6784
Practice Address - Country:US
Practice Address - Phone:407-733-2483
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-07-10
Last Update Date:2009-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management