Healthcare Provider Details

I. General information

NPI: 1750696894
Provider Name (Legal Business Name): J & J HOME HEALTH CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/13/2010
Last Update Date: 08/13/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

420 W SUMMIT AVE
MUSKEGON HEIGHTS MI
49444-1917
US

IV. Provider business mailing address

420 W SUMMIT AVE
MUSKEGON HEIGHTS MI
49444-1917
US

V. Phone/Fax

Practice location:
  • Phone: 231-733-0144
  • Fax:
Mailing address:
  • Phone: 231-733-0144
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: LINDA RUTH JOHNSON
Title or Position: CEO
Credential:
Phone: 231-894-0647