Provider Demographics
NPI:1831962307
Name:J AND R HOME RENOVATIONS
Entity type:Organization
Organization Name:J AND R HOME RENOVATIONS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PERESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:
Authorized Official - Last Name:STRACHAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:248-710-4423
Mailing Address - Street 1:14 UNIVERSITY PLACE DR
Mailing Address - Street 2:
Mailing Address - City:PONTIAC
Mailing Address - State:MI
Mailing Address - Zip Code:48342-1880
Mailing Address - Country:US
Mailing Address - Phone:248-710-4423
Mailing Address - Fax:
Practice Address - Street 1:362 N JOHNSON ST
Practice Address - Street 2:
Practice Address - City:PONTIAC
Practice Address - State:MI
Practice Address - Zip Code:48342-1028
Practice Address - Country:US
Practice Address - Phone:248-963-1031
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-11-06
Last Update Date:2023-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320800000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Mental Illness