Provider Demographics
NPI:1821356304
Name:TJ HOUSING, LLC
Entity Type:Organization
Organization Name:TJ HOUSING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:JOE
Authorized Official - Middle Name:
Authorized Official - Last Name:JACKSON
Authorized Official - Suffix:SR
Authorized Official - Credentials:
Authorized Official - Phone:803-446-0116
Mailing Address - Street 1:8 SLEEPY HOLLOW LN
Mailing Address - Street 2:
Mailing Address - City:HOPKINS
Mailing Address - State:SC
Mailing Address - Zip Code:29061-9627
Mailing Address - Country:US
Mailing Address - Phone:803-661-0110
Mailing Address - Fax:
Practice Address - Street 1:3031 SCOTSMAN RD
Practice Address - Street 2:SUITE 5&6
Practice Address - City:COLUMBIA
Practice Address - State:SC
Practice Address - Zip Code:29223-1812
Practice Address - Country:US
Practice Address - Phone:803-661-0110
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-05-02
Last Update Date:2012-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies