MEDICARE: NJ CONSULTANTS, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251B00000X	Case Management Agency

General Provider Information

NPI Number	:	1073851820
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NJ CONSULTANTS, LLC

Provider Business Mailing Address
First Line	:	4625 DRAPER RD
Second Line	:
City	:	RALEIGH
State	:	NC
Zip	:	27616-5676
Country	:	US
Telephone Number	:	919-699-4837
Fax Number	:

Provider Business Practice Location Address
First Line	:	4625 DRAPER RD
Second Line	:
City	:	RALEIGH
State	:	NC
Zip	:	27616-5676
Country	:	US
Telephone Number	:	919-699-4837
Fax Number	:

Authorized Official
Title or Position	:	CEO/MEMBER
Name	:	NIADRA PRATT
Credential	:
Telephone Number	:	919-699-4837

Provider Enumeration Date	:	01/29/2013
Last Update Date	:	01/29/2013

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