Provider Demographics
NPI:1861858532
Name:R. J SHEPHERD II, INC
Entity Type:Organization
Organization Name:R. J SHEPHERD II, INC
Other - Org Name:BETTER HOME HEALTH CARE OF GA
Other - Org Type:Doing Business As
Authorized Official - Title/Position:REGINONAL DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:JEAN
Authorized Official - Middle Name:
Authorized Official - Last Name:MORRIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:678-547-0495
Mailing Address - Street 1:1350 DRESDEN DR NE
Mailing Address - Street 2:
Mailing Address - City:BROOKHAVEN
Mailing Address - State:GA
Mailing Address - Zip Code:30319-3454
Mailing Address - Country:US
Mailing Address - Phone:678-547-0495
Mailing Address - Fax:678-547-0496
Practice Address - Street 1:102 MAIN ST
Practice Address - Street 2:SUITE 228
Practice Address - City:LAGRANGE
Practice Address - State:GA
Practice Address - Zip Code:30240-3225
Practice Address - Country:US
Practice Address - Phone:678-547-0495
Practice Address - Fax:678-547-0496
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-01-11
Last Update Date:2016-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty