Provider Demographics
NPI:1922443456
Name:RJ ENTERPRIZES
Entity Type:Organization
Organization Name:RJ ENTERPRIZES
Other - Org Name:R J GIROUX TRANSPORT INC
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:PERSONAL CARE ATTENDANT
Authorized Official - Prefix:MR
Authorized Official - First Name:RAYMOND
Authorized Official - Middle Name:J
Authorized Official - Last Name:GIROUX
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:813-468-1570
Mailing Address - Street 1:12966 MORRIS BRIDGE RD
Mailing Address - Street 2:LOT #10
Mailing Address - City:THONOTOSASSA
Mailing Address - State:FL
Mailing Address - Zip Code:33592-2444
Mailing Address - Country:US
Mailing Address - Phone:813-468-1570
Mailing Address - Fax:413-650-5595
Practice Address - Street 1:12966 MORRIS BRIDGE RD
Practice Address - Street 2:LOT #10
Practice Address - City:THONOTOSASSA
Practice Address - State:FL
Practice Address - Zip Code:33592-2444
Practice Address - Country:US
Practice Address - Phone:813-468-1570
Practice Address - Fax:413-650-5595
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-05-10
Last Update Date:2013-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLG620-730-55-254-0347C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes347C00000XTransportation ServicesPrivate Vehicle