Provider Demographics
NPI:1902263122
Name:T AND J ENTEPRISE INC .ALL IN ONE
Entity Type:Organization
Organization Name:T AND J ENTEPRISE INC .ALL IN ONE
Other - Org Name:SOVEREIGN
Other - Org Type:Doing Business As
Authorized Official - Title/Position:FOUNDER
Authorized Official - Prefix:MRS
Authorized Official - First Name:TERESA
Authorized Official - Middle Name:
Authorized Official - Last Name:DICKERSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:205-856-6760
Mailing Address - Street 1:1218 CENTER POINT PKWY
Mailing Address - Street 2:
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35215-6310
Mailing Address - Country:US
Mailing Address - Phone:205-856-6760
Mailing Address - Fax:
Practice Address - Street 1:1218 CENTER POINT PKWY
Practice Address - Street 2:
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35215-6310
Practice Address - Country:US
Practice Address - Phone:205-856-6760
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-01-19
Last Update Date:2016-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes3747A0650XNursing Service Related ProvidersTechnicianAttendant Care ProviderGroup - Single Specialty
No253Z00000XAgenciesIn Home Supportive CareGroup - Single Specialty