MEDICARE: 3E & J LLC

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	261QA0600X	Adult Day Care Clinic/Center

General Provider Information

NPI Number	:	1518663574
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	3E & J LLC

Provider Business Mailing Address
First Line	:	13450 RESEARCH BLVD STE 106
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78750-3227
Country	:	US
Telephone Number	:	512-375-4328
Fax Number	:

Provider Business Practice Location Address
First Line	:	13450 RESEARCH BLVD STE 106
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78750-3227
Country	:	US
Telephone Number	:	512-375-4328
Fax Number	:

Authorized Official
Title or Position	:	MANAGING MEMBER
Name	:	EMILY ROLLINS
Credential	:
Telephone Number	:	206-790-3497

Provider Enumeration Date	:	02/01/2023
Last Update Date	:	08/21/2023

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Directions to “3E & J LLC ” Practice Location

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