Provider Demographics
NPI:1124283429
Name:B & J'S FAMILY SERVICES INC
Entity type:Organization
Organization Name:B & J'S FAMILY SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:MONICA
Authorized Official - Middle Name:
Authorized Official - Last Name:GRAMLING
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:704-695-6006
Mailing Address - Street 1:PO BOX 471
Mailing Address - Street 2:
Mailing Address - City:PEACHLAND
Mailing Address - State:NC
Mailing Address - Zip Code:28133-0471
Mailing Address - Country:US
Mailing Address - Phone:704-695-6006
Mailing Address - Fax:704-272-7158
Practice Address - Street 1:35 W PASSAIC ST
Practice Address - Street 2:
Practice Address - City:PEACHLAND
Practice Address - State:NC
Practice Address - Zip Code:28133-8739
Practice Address - Country:US
Practice Address - Phone:704-272-7258
Practice Address - Fax:704-272-7158
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-07-25
Last Update Date:2008-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes311Z00000XNursing & Custodial Care FacilitiesCustodial Care Facility