Provider Demographics
NPI:1942844790
Name:AJ THERAPEUTICS ENDEAVOR LLC
Entity Type:Organization
Organization Name:AJ THERAPEUTICS ENDEAVOR LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COO
Authorized Official - Prefix:
Authorized Official - First Name:ASHRAF
Authorized Official - Middle Name:
Authorized Official - Last Name:KHARRUBI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:615-968-3335
Mailing Address - Street 1:2001 RUSH ST
Mailing Address - Street 2:UNIT 2113
Mailing Address - City:FRANKLIN
Mailing Address - State:TN
Mailing Address - Zip Code:37067-1406
Mailing Address - Country:US
Mailing Address - Phone:917-975-6499
Mailing Address - Fax:
Practice Address - Street 1:2001 RUSH ST
Practice Address - Street 2:UNIT 2113
Practice Address - City:FRANKLIN
Practice Address - State:TN
Practice Address - Zip Code:37067-1406
Practice Address - Country:US
Practice Address - Phone:917-975-6499
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-11-05
Last Update Date:2020-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Multi-Specialty
No103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Multi-Specialty
No225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Multi-Specialty