Provider Demographics
NPI:1558624254
Name:WMJR ENTERPRISES LLC
Entity Type:Organization
Organization Name:WMJR ENTERPRISES LLC
Other - Org Name:WMJR HOME CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:ALLEN
Authorized Official - Last Name:MCCLENDON
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:313-671-0389
Mailing Address - Street 1:10433 W MCNICHOLS RD
Mailing Address - Street 2:
Mailing Address - City:DETROIT
Mailing Address - State:MI
Mailing Address - Zip Code:48221-2355
Mailing Address - Country:US
Mailing Address - Phone:313-736-5041
Mailing Address - Fax:
Practice Address - Street 1:10433 W MCNICHOLS RD
Practice Address - Street 2:
Practice Address - City:DETROIT
Practice Address - State:MI
Practice Address - Zip Code:48221-2355
Practice Address - Country:US
Practice Address - Phone:313-736-5041
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-06-19
Last Update Date:2015-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No253Z00000XAgenciesIn Home Supportive Care