Provider Demographics
NPI:1629228820
Name:JN NEW LIFE CARE SERVICES CORP.
Entity Type:Organization
Organization Name:JN NEW LIFE CARE SERVICES CORP.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JUAN
Authorized Official - Middle Name:OMAR
Authorized Official - Last Name:NAVARRO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:281-536-8859
Mailing Address - Street 1:1616 E GRIFFIN PKWY
Mailing Address - Street 2:STE 127
Mailing Address - City:MISSION
Mailing Address - State:TX
Mailing Address - Zip Code:78572-3180
Mailing Address - Country:US
Mailing Address - Phone:281-536-8859
Mailing Address - Fax:
Practice Address - Street 1:1616 E GRIFFIN PKWY
Practice Address - Street 2:STE 127
Practice Address - City:MISSION
Practice Address - State:TX
Practice Address - Zip Code:78572-3180
Practice Address - Country:US
Practice Address - Phone:281-536-8859
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-09-24
Last Update Date:2008-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty