Provider Demographics
NPI:1588947766
Name:TNJ HEALTH CARE SERVICES LLC
Entity type:Organization
Organization Name:TNJ HEALTH CARE SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:ADENIKE
Authorized Official - Middle Name:
Authorized Official - Last Name:OLATERU-OLAGBEGI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:770-312-6572
Mailing Address - Street 1:12521 SUNRISE DR
Mailing Address - Street 2:
Mailing Address - City:FRISCO
Mailing Address - State:TX
Mailing Address - Zip Code:75034-0370
Mailing Address - Country:US
Mailing Address - Phone:770-312-6572
Mailing Address - Fax:469-519-9465
Practice Address - Street 1:12521 SUNRISE DR
Practice Address - Street 2:
Practice Address - City:FRISCO
Practice Address - State:TX
Practice Address - Zip Code:75034-0370
Practice Address - Country:US
Practice Address - Phone:770-312-6572
Practice Address - Fax:469-519-9465
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-09-23
Last Update Date:2011-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management