Healthcare Provider Details

I. General information

NPI: 1316529365
Provider Name (Legal Business Name): BJRSC, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/28/2021
Last Update Date: 04/28/2021
Certification Date: 04/28/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3231 SUNSET BLVD STE D
WEST COLUMBIA SC
29169-3484
US

IV. Provider business mailing address

PO BOX 14532
HUNTSVILLE AL
35815-0532
US

V. Phone/Fax

Practice location:
  • Phone: 803-736-4242
  • Fax: 256-801-8941
Mailing address:
  • Phone: 256-883-3080
  • Fax: 256-801-8941

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: MRS. LATONYA CUNNINGHAM
Title or Position: FINANCE DIRECTOR
Credential:
Phone: 256-883-3080