Provider Demographics
NPI:1790365187
Name:JURITUS UNITED
Entity Type:Organization
Organization Name:JURITUS UNITED
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:CINDY
Authorized Official - Middle Name:JURITUS
Authorized Official - Last Name:HANCOCK-CARDEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:434-376-6966
Mailing Address - Street 1:118 RIDGE ST
Mailing Address - Street 2:
Mailing Address - City:BROOKNEAL
Mailing Address - State:VA
Mailing Address - Zip Code:24528-2835
Mailing Address - Country:US
Mailing Address - Phone:143-437-6696
Mailing Address - Fax:434-376-6966
Practice Address - Street 1:118 RIDGE ST
Practice Address - Street 2:
Practice Address - City:BROOKNEAL
Practice Address - State:VA
Practice Address - Zip Code:24528-2835
Practice Address - Country:US
Practice Address - Phone:143-437-6696
Practice Address - Fax:434-376-6966
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-04-10
Last Update Date:2021-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services