Provider Demographics
NPI:1932734498
Name:J&P HEALTH LLC
Entity Type:Organization
Organization Name:J&P HEALTH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JUSTICE
Authorized Official - Middle Name:
Authorized Official - Last Name:OTCHERE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:682-433-9287
Mailing Address - Street 1:6073 N FRESNO ST STE 105
Mailing Address - Street 2:
Mailing Address - City:FRESNO
Mailing Address - State:CA
Mailing Address - Zip Code:93710-8614
Mailing Address - Country:US
Mailing Address - Phone:682-433-9287
Mailing Address - Fax:
Practice Address - Street 1:6073 N FRESNO ST STE 105
Practice Address - Street 2:
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93710-8614
Practice Address - Country:US
Practice Address - Phone:559-538-3145
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-03-05
Last Update Date:2020-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health