Provider Demographics
NPI:1295550804
Name:J&J COMMUNITY SERVICES LLC
Entity type:Organization
Organization Name:J&J COMMUNITY SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:TWINA
Authorized Official - Middle Name:ANITA
Authorized Official - Last Name:LEARY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:757-407-8894
Mailing Address - Street 1:4005 OAK DR # 23321
Mailing Address - Street 2:
Mailing Address - City:CHESAPEAKE
Mailing Address - State:VA
Mailing Address - Zip Code:23321-5306
Mailing Address - Country:US
Mailing Address - Phone:757-407-8894
Mailing Address - Fax:
Practice Address - Street 1:555 BELAIRE AVE STE 210
Practice Address - Street 2:
Practice Address - City:CHESAPEAKE
Practice Address - State:VA
Practice Address - Zip Code:23320-4783
Practice Address - Country:US
Practice Address - Phone:757-407-8894
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-11-19
Last Update Date:2024-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services