# J & J RESIDENTIAL SERVICES INCORPORATED

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1912208133
- **Authorized official:** MR. DONALD ANDERSON CLINE JR. (OWNER/PRESIDENT)
- **Authorized official phone:** (740) 733-7095

## Contact information

- **Practice address:** 43 GREENE STREET, SMITHFIELD, OH 43948
- **Practice address phone:** (740) 733-7095
- **Practice address fax:** (740) 733-8509
- **Mailing address:** 65 TANNER STREET, SMITHFIELD, OH 43948
- **Mailing address phone:** (740) 733-7095
- **Mailing address fax:** (740) 733-8509

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 385HR2060X | Child Intellectual and/or Developmental Disabilities Respite Care | 4110054 | OH | Yes |

## Other

- **Enumeration date:** 11/04/2010
- **Last updated:** 11/04/2010