MEDICARE: J&J HOME CARE

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	310400000X	Assisted Living Facility		TX

General Provider Information

NPI Number	:	1912335019
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	J&J HOME CARE

Provider Business Mailing Address
First Line	:	8001 TIN CUP DR
Second Line	:
City	:	ARLINGTON
State	:	TX
Zip	:	76001-6104
Country	:	US
Telephone Number	:	469-964-2279
Fax Number	:	682-422-3675

Provider Business Practice Location Address
First Line	:	8001 TIN CUP DR
Second Line	:
City	:	ARLINGTON
State	:	TX
Zip	:	76001-6104
Country	:	US
Telephone Number	:	469-964-2279
Fax Number	:	682-422-3675

Authorized Official
Title or Position	:	DIRECTOR
Name	:	JACQUELINE DILWORTH
Credential	:
Telephone Number	:	469-964-2279

Provider Enumeration Date	:	10/29/2013
Last Update Date	:	10/29/2013

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Directions to “J&J HOME CARE ” Practice Location

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