Provider Demographics
NPI:1255966719
Name:CRJ SERVICES LLC
Entity type:Organization
Organization Name:CRJ SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MBR
Authorized Official - Prefix:MRS
Authorized Official - First Name:JUDITH
Authorized Official - Middle Name:Y
Authorized Official - Last Name:DELGADO
Authorized Official - Suffix:
Authorized Official - Credentials:ECT
Authorized Official - Phone:305-321-2487
Mailing Address - Street 1:3104 HAYLING DR
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27610-2290
Mailing Address - Country:US
Mailing Address - Phone:305-321-2487
Mailing Address - Fax:
Practice Address - Street 1:3104 HAYLING DR
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27610-2290
Practice Address - Country:US
Practice Address - Phone:305-321-2487
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-03-05
Last Update Date:2020-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes253Z00000XAgenciesIn Home Supportive Care
No251E00000XAgenciesHome HealthGroup - Single Specialty
No385H00000XRespite Care FacilityRespite Care