Provider Demographics
NPI:1770911356
Name:JJ&B UNITED, LLC
Entity type:Organization
Organization Name:JJ&B UNITED, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO/CFO
Authorized Official - Prefix:
Authorized Official - First Name:JOANNE
Authorized Official - Middle Name:
Authorized Official - Last Name:JANSZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:817-472-1040
Mailing Address - Street 1:PO BOX 151345
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:TX
Mailing Address - Zip Code:76015-7345
Mailing Address - Country:US
Mailing Address - Phone:817-472-1040
Mailing Address - Fax:817-549-8539
Practice Address - Street 1:3163 KINGSWOOD CT
Practice Address - Street 2:
Practice Address - City:MANSFIELD
Practice Address - State:TX
Practice Address - Zip Code:76063-7545
Practice Address - Country:US
Practice Address - Phone:817-472-1040
Practice Address - Fax:817-549-8539
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-10-17
Last Update Date:2015-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes311Z00000XNursing & Custodial Care FacilitiesCustodial Care Facility