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Organization
SJ MEDICAL AND SUPPLY COMPANY LLC
Active
Organization
SJ MEDICAL AND SUPPLY COMPANY LLC
Active
Other names
SJ MEDICAL AND SUPPLY CO
Organization subpart
No
Provider details
NPI number
Authorized official
JADE DANIELS (OWNER/PRESIDENT)
(501) 500-3775
Entity
Organization
Contact information
Practice address
8817 WESTWOOD AVE, LITTLE ROCK, AR 72204-8265
(501) 500-3775
Mailing address
8817 WESTWOOD AVE, LITTLE ROCK, AR 72204-8265
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
—
—
251E00000X
Home Health Agency
—
—
251J00000X
Nursing Care Agency
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
Other
Enumeration date
05/12/2025
Last updated
05/12/2025
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