Organization
CJB ENTERPRISES LLC
Active
Other names
LifeMed
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARY T GENTILE (AUTHORIZED OFFICIAL)
(860) 257-7080
Entity
Organization
Contact information
Practice address
2420 HIGHWAY 287 N STE 112, MANSFIELD, TX 76063-8850
(682) 518-9016
(682) 518-9553
Mailing address
PO BOX 290184, WETHERSFIELD, CT 06129-0184
(860) 257-7080
(860) 563-3403
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
1000733
TX
Other
Enumeration date
11/09/2011
Last updated
07/26/2012
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