Provider Demographics
NPI:1629748611
Name:J & R PROFESSIONAL SERVICES INC
Entity Type:Organization
Organization Name:J & R PROFESSIONAL SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COMTROLLER
Authorized Official - Prefix:MR
Authorized Official - First Name:GARY
Authorized Official - Middle Name:M
Authorized Official - Last Name:KISSICK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:248-804-3566
Mailing Address - Street 1:37040 GARFIELD RD STE B-3
Mailing Address - Street 2:
Mailing Address - City:CLINTON TOWNSHIP
Mailing Address - State:MI
Mailing Address - Zip Code:48036-3646
Mailing Address - Country:US
Mailing Address - Phone:586-495-1600
Mailing Address - Fax:586-803-4411
Practice Address - Street 1:37040 GARFIELD RD STE B-3
Practice Address - Street 2:
Practice Address - City:CLINTON TOWNSHIP
Practice Address - State:MI
Practice Address - Zip Code:48036-3646
Practice Address - Country:US
Practice Address - Phone:586-495-1600
Practice Address - Fax:586-803-4411
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-09-20
Last Update Date:2021-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care