Provider Demographics
NPI:1578235172
Name:BJR CAPITAL INVESTMENTS LLC
Entity Type:Organization
Organization Name:BJR CAPITAL INVESTMENTS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:BRITTON
Authorized Official - Middle Name:
Authorized Official - Last Name:ROBERTSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:618-855-9120
Mailing Address - Street 1:2105 VANDALIA ST STE 10
Mailing Address - Street 2:
Mailing Address - City:COLLINSVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:62234-4859
Mailing Address - Country:US
Mailing Address - Phone:618-855-9120
Mailing Address - Fax:618-855-9138
Practice Address - Street 1:2105 VANDALIA ST STE 10
Practice Address - Street 2:
Practice Address - City:COLLINSVILLE
Practice Address - State:IL
Practice Address - Zip Code:62234-4859
Practice Address - Country:US
Practice Address - Phone:618-855-9120
Practice Address - Fax:618-855-9138
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-10-01
Last Update Date:2021-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care