Provider Demographics
NPI:1851885065
Name:J & Q ADULT SERVICES, LLC
Entity Type:Organization
Organization Name:J & Q ADULT SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MISS
Authorized Official - First Name:SIMONE
Authorized Official - Middle Name:LEE
Authorized Official - Last Name:SKEETER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:757-230-4173
Mailing Address - Street 1:1811 CANDLELIGHT DR
Mailing Address - Street 2:
Mailing Address - City:CHESAPEAKE
Mailing Address - State:VA
Mailing Address - Zip Code:23325-4763
Mailing Address - Country:US
Mailing Address - Phone:757-230-4173
Mailing Address - Fax:
Practice Address - Street 1:1811 CANDLELIGHT DR
Practice Address - Street 2:
Practice Address - City:CHESAPEAKE
Practice Address - State:VA
Practice Address - Zip Code:23325-4763
Practice Address - Country:US
Practice Address - Phone:757-230-4173
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-06-20
Last Update Date:2023-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care