Provider Demographics
NPI:1821850884
Name:JJ GROUP INC
Entity Type:Organization
Organization Name:JJ GROUP INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JULIUS
Authorized Official - Middle Name:
Authorized Official - Last Name:MBOWA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:857-236-0355
Mailing Address - Street 1:24 CRESCENT ST STE 408B
Mailing Address - Street 2:
Mailing Address - City:WALTHAM
Mailing Address - State:MA
Mailing Address - Zip Code:02453-4358
Mailing Address - Country:US
Mailing Address - Phone:857-236-0355
Mailing Address - Fax:
Practice Address - Street 1:24 CRESCENT ST STE 408B
Practice Address - Street 2:
Practice Address - City:WALTHAM
Practice Address - State:MA
Practice Address - Zip Code:02453-4358
Practice Address - Country:US
Practice Address - Phone:857-236-0355
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:JJ HOME CARE AND STAFFING
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2024-01-25
Last Update Date:2024-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health