# SJ MEDICAL AND SUPPLY COMPANY LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** SJ MEDICAL AND SUPPLY CO
- **Organization subpart:** No

## Provider details

- **NPI number:** 1184414195
- **Authorized official:** JADE DANIELS (OWNER/PRESIDENT)
- **Authorized official phone:** (501) 500-3775

## Contact information

- **Practice address:** 8817 WESTWOOD AVE, LITTLE ROCK, AR 72204-8265
- **Practice address phone:** (501) 500-3775
- **Mailing address:** 8817 WESTWOOD AVE, LITTLE ROCK, AR 72204-8265

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 164W00000X | Licensed Practical Nurse | — | — | Yes |
| 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