Provider Demographics
NPI:1023336344
Name:JJ HOLISTIC HOME HEALTH CARE INC
Entity type:Organization
Organization Name:JJ HOLISTIC HOME HEALTH CARE INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:JUDE
Authorized Official - Middle Name:IHEANYI
Authorized Official - Last Name:ANWUKAH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:817-903-8135
Mailing Address - Street 1:4710 SEACHEST LN
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:TX
Mailing Address - Zip Code:76016-5377
Mailing Address - Country:US
Mailing Address - Phone:817-561-1927
Mailing Address - Fax:817-478-8135
Practice Address - Street 1:4710 SEACHEST LN
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:TX
Practice Address - Zip Code:76016-5377
Practice Address - Country:US
Practice Address - Phone:817-561-1927
Practice Address - Fax:817-478-8135
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:JJ HOLISTIC HOME HEALTH CARE INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2010-05-11
Last Update Date:2011-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health