Provider Demographics
NPI:1316529365
Name:BJRSC, INC
Entity type:Organization
Organization Name:BJRSC, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FINANCE DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:LATONYA
Authorized Official - Middle Name:
Authorized Official - Last Name:CUNNINGHAM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:256-883-3080
Mailing Address - Street 1:PO BOX 14532
Mailing Address - Street 2:
Mailing Address - City:HUNTSVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35815-0532
Mailing Address - Country:US
Mailing Address - Phone:256-883-3080
Mailing Address - Fax:256-801-8941
Practice Address - Street 1:3231 SUNSET BLVD STE D
Practice Address - Street 2:
Practice Address - City:WEST COLUMBIA
Practice Address - State:SC
Practice Address - Zip Code:29169-3484
Practice Address - Country:US
Practice Address - Phone:803-736-4242
Practice Address - Fax:256-801-8941
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-04-28
Last Update Date:2021-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care