Organization
MJR COMMUNITY SUPPORT SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CLARISSE KEHOU (CEO)
(678) 789-9435
Entity
Organization
Contact information
Practice address
101 HUDSON ST, JERSEY CITY, NJ 07302-3915
(678) 789-9435
Mailing address
101 HUDSON ST, JERSEY CITY, NJ 07302-3915
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
251E00000X
Home Health Agency
—
—
374700000X
Technician
—
—
385H00000X
Respite Care
—
—
Other
Enumeration date
03/23/2026
Last updated
03/23/2026
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