Provider Demographics
NPI:1851978670
Name:RJ SENIOR CARE
Entity Type:Organization
Organization Name:RJ SENIOR CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:PIETRO
Authorized Official - Middle Name:
Authorized Official - Last Name:JORDAO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:361-433-0330
Mailing Address - Street 1:104 KELLY DR STE B
Mailing Address - Street 2:
Mailing Address - City:VICTORIA
Mailing Address - State:TX
Mailing Address - Zip Code:77904-1551
Mailing Address - Country:US
Mailing Address - Phone:361-433-0330
Mailing Address - Fax:361-333-5030
Practice Address - Street 1:104 KELLY DR STE B
Practice Address - Street 2:
Practice Address - City:VICTORIA
Practice Address - State:TX
Practice Address - Zip Code:77904-1551
Practice Address - Country:US
Practice Address - Phone:361-433-0330
Practice Address - Fax:361-333-5030
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-03-26
Last Update Date:2021-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care