Provider Demographics
NPI:1215723986
Name:K&J DOMESTIC SERVICES, LLC
Entity type:Organization
Organization Name:K&J DOMESTIC SERVICES, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:MRS
Authorized Official - First Name:KRISTINA
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:LESSARD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:805-336-5467
Mailing Address - Street 1:945 EASY GRUENE
Mailing Address - Street 2:
Mailing Address - City:NEW BRAUNFELS
Mailing Address - State:TX
Mailing Address - Zip Code:78130-0343
Mailing Address - Country:US
Mailing Address - Phone:805-336-5467
Mailing Address - Fax:
Practice Address - Street 1:945 EASY GRUENE
Practice Address - Street 2:
Practice Address - City:NEW BRAUNFELS
Practice Address - State:TX
Practice Address - Zip Code:78130-0343
Practice Address - Country:US
Practice Address - Phone:805-336-5467
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-04-17
Last Update Date:2025-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care