Provider Demographics
NPI:1730373085
Name:G & J PERSONAL CARE, LLC
Entity type:Organization
Organization Name:G & J PERSONAL CARE, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER/MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:ROSE
Authorized Official - Middle Name:
Authorized Official - Last Name:JEUNE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:623-937-8844
Mailing Address - Street 1:6826 W SWEETWATER AVE
Mailing Address - Street 2:
Mailing Address - City:PEORIA
Mailing Address - State:AZ
Mailing Address - Zip Code:85381-5018
Mailing Address - Country:US
Mailing Address - Phone:623-937-8844
Mailing Address - Fax:623-846-4585
Practice Address - Street 1:6826 W SWEETWATER AVE
Practice Address - Street 2:
Practice Address - City:PEORIA
Practice Address - State:AZ
Practice Address - Zip Code:85381-5018
Practice Address - Country:US
Practice Address - Phone:623-937-8844
Practice Address - Fax:623-846-4585
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-30
Last Update Date:2007-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility