Provider Demographics
NPI:1598446155
Name:JR DEVELOPMENT GROUP LLC
Entity Type:Organization
Organization Name:JR DEVELOPMENT GROUP LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:JEAN
Authorized Official - Middle Name:
Authorized Official - Last Name:ROGERS LONG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:214-927-3491
Mailing Address - Street 1:1517 GAILBROOK LN
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75228-5125
Mailing Address - Country:US
Mailing Address - Phone:214-927-3491
Mailing Address - Fax:
Practice Address - Street 1:7040 CARTER RD
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75217-5931
Practice Address - Country:US
Practice Address - Phone:214-927-3491
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:JR DEVELOPMENT GROUP LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2023-07-27
Last Update Date:2023-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes376G00000XNursing Service Related ProvidersNursing Home AdministratorGroup - Multi-Specialty