Provider Demographics
NPI:1215241872
Name:AJGS, INC.
Entity type:Organization
Organization Name:AJGS, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:JEANNE
Authorized Official - Middle Name:
Authorized Official - Last Name:ANDERSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:941-235-9111
Mailing Address - Street 1:PO BOX 380485
Mailing Address - Street 2:
Mailing Address - City:MURDOCK
Mailing Address - State:FL
Mailing Address - Zip Code:33938-0485
Mailing Address - Country:US
Mailing Address - Phone:941-235-9111
Mailing Address - Fax:941-743-8567
Practice Address - Street 1:949 TAMIAMI TRL
Practice Address - Street 2:SUITE 203
Practice Address - City:PORT CHARLOTTE
Practice Address - State:FL
Practice Address - Zip Code:33953-3163
Practice Address - Country:US
Practice Address - Phone:941-235-9111
Practice Address - Fax:941-743-8567
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-08-05
Last Update Date:2010-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL228484253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care