Provider Demographics
NPI:1952998668
Name:L AND J'S FAMILY HEALTHCARE SERVICES
Entity Type:Organization
Organization Name:L AND J'S FAMILY HEALTHCARE SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:JIMMIE
Authorized Official - Middle Name:
Authorized Official - Last Name:ROSEBORO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:330-333-4114
Mailing Address - Street 1:926 PECKHAM ST
Mailing Address - Street 2:
Mailing Address - City:AKRON
Mailing Address - State:OH
Mailing Address - Zip Code:44320-2236
Mailing Address - Country:US
Mailing Address - Phone:330-245-9961
Mailing Address - Fax:
Practice Address - Street 1:926 PECKHAM ST
Practice Address - Street 2:
Practice Address - City:AKRON
Practice Address - State:OH
Practice Address - Zip Code:44320-2236
Practice Address - Country:US
Practice Address - Phone:330-245-9961
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-12-29
Last Update Date:2020-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health