Provider Demographics
NPI:1508605403
Name:JSRJ INC
Entity type:Organization
Organization Name:JSRJ INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VP IT & OPERATIONS
Authorized Official - Prefix:
Authorized Official - First Name:JIJO
Authorized Official - Middle Name:
Authorized Official - Last Name:GEORGE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:267-252-2079
Mailing Address - Street 1:1079 WELSH RD
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19115-3017
Mailing Address - Country:US
Mailing Address - Phone:267-252-2079
Mailing Address - Fax:
Practice Address - Street 1:1079 WELSH RD
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19115-3017
Practice Address - Country:US
Practice Address - Phone:267-252-2079
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-05-21
Last Update Date:2024-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
No172A00000XOther Service ProvidersDriverGroup - Multi-Specialty
No174200000XOther Service ProvidersMeals