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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