MEDICARE: T&J ENTERPRISES, INC.

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	253Z00000X	In Home Supportive Care Agency

General Provider Information

NPI Number	:	1962276907
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	T&J ENTERPRISES, INC.

Provider Business Mailing Address
First Line	:	12164 CENTRAL AVE STE 219
Second Line	:
City	:	MITCHELLVILLE
State	:	MD
Zip	:	20721-1903
Country	:	US
Telephone Number	:	301-778-0401
Fax Number	:	301-778-4242

Provider Business Practice Location Address
First Line	:	12164 CENTRAL AVE STE 219
Second Line	:
City	:	MITCHELLVILLE
State	:	MD
Zip	:	20721-1903
Country	:	US
Telephone Number	:	301-778-0401
Fax Number	:	301-778-4242

Authorized Official
Title or Position	:	OWNER/CEO
Name	:	TAMARA CLAY
Credential	:
Telephone Number	:	120-225-6308

Provider Enumeration Date	:	11/09/2023
Last Update Date	:	11/09/2023

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Directions to “T&J ENTERPRISES, INC. ” Practice Location

Language	Start Address	Practice Location

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