Provider Demographics
NPI:1558931568
Name:J & S ASSISTING LIVING AND CONSULTANT LLC
Entity Type:Organization
Organization Name:J & S ASSISTING LIVING AND CONSULTANT LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:JEREMY
Authorized Official - Middle Name:GERARD
Authorized Official - Last Name:MARSHALL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:904-207-4191
Mailing Address - Street 1:1343 JOHNS ST
Mailing Address - Street 2:
Mailing Address - City:JENNINGS
Mailing Address - State:FL
Mailing Address - Zip Code:32053-3097
Mailing Address - Country:US
Mailing Address - Phone:386-938-2751
Mailing Address - Fax:
Practice Address - Street 1:1343 JOHNS ST
Practice Address - Street 2:
Practice Address - City:JENNINGS
Practice Address - State:FL
Practice Address - Zip Code:32053-3097
Practice Address - Country:US
Practice Address - Phone:386-938-2751
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-06-30
Last Update Date:2021-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility
No343900000XTransportation ServicesNon-emergency Medical Transport (VAN)