Healthcare Provider Details

I. General information

NPI: 1366916678
Provider Name (Legal Business Name): THE J&M GROUP INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/20/2019
Last Update Date: 01/20/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10601 HAMLIN WAY
CHESTER VA
23831-1259
US

IV. Provider business mailing address

13926 HULL STREET RD PMB 1046
MIDLOTHIAN VA
23112
US

V. Phone/Fax

Practice location:
  • Phone: 855-538-7444
  • Fax:
Mailing address:
  • Phone: 855-538-7444
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code320600000X
TaxonomyIntellectual and/or Developmental Disabilities Residential Treatment Facility
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State

VIII. Authorized Official

Name: MR. TOMMY JIMMERSON
Title or Position: CEO
Credential:
Phone: 855-538-7444