Provider Demographics
NPI:1962057687
Name:J&W VENTURES, INC.
Entity type:Organization
Organization Name:J&W VENTURES, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:
Authorized Official - Last Name:HOEBERLING
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:810-922-2938
Mailing Address - Street 1:10686 WACOUSTA RD
Mailing Address - Street 2:
Mailing Address - City:DEWITT
Mailing Address - State:MI
Mailing Address - Zip Code:48820-8072
Mailing Address - Country:US
Mailing Address - Phone:810-922-2938
Mailing Address - Fax:
Practice Address - Street 1:10686 WACOUSTA RD
Practice Address - Street 2:
Practice Address - City:DEWITT
Practice Address - State:MI
Practice Address - Zip Code:48820-8072
Practice Address - Country:US
Practice Address - Phone:810-922-2938
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-08-08
Last Update Date:2019-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care