Organization
C&J HOME CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PRISCILLA JENKINS (CO-OWNER/SERVICE FACILITATOR)
(276) 229-0346
Entity
Organization
Contact information
Practice address
100 BEAVER ST S, MARTINSVILLE, VA 24112-6318
(276) 229-0346
Mailing address
PO BOX 3145, MARTINSVILLE, VA 24115-3145
(877) 395-1479
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0172707298
—
VA
Enumeration date
09/22/2015
Last updated
09/22/2015
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