Healthcare Provider Details

I. General information

NPI: 1275863052
Provider Name (Legal Business Name): JKPJJ HEALTHCARE SYSTEMS, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/30/2009
Last Update Date: 12/30/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

518 E MAIN AVE SUITE A
ROBSTOWN TX
78380-3356
US

IV. Provider business mailing address

PO BOX 832
ROBSTOWN TX
78380-0832
US

V. Phone/Fax

Practice location:
  • Phone: 361-387-6965
  • Fax: 361-387-3791
Mailing address:
  • Phone: 361-387-6965
  • Fax: 361-387-3791

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MS. PATRICIA S SAENZ
Title or Position: CEO/PRESIDENT
Credential:
Phone: 361-387-6965