Provider Demographics
NPI:1962806356
Name:J & S SENIOR SERVICES LLC
Entity type:Organization
Organization Name:J & S SENIOR SERVICES LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:G
Authorized Official - Last Name:MCINTOSH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:716-510-0841
Mailing Address - Street 1:1110 LONDON ST
Mailing Address - Street 2:SUITE 104B
Mailing Address - City:MYRTLE BEACH
Mailing Address - State:SC
Mailing Address - Zip Code:29577-5799
Mailing Address - Country:US
Mailing Address - Phone:716-510-0841
Mailing Address - Fax:
Practice Address - Street 1:1110 LONDON ST
Practice Address - Street 2:SUITE 104B
Practice Address - City:MYRTLE BEACH
Practice Address - State:SC
Practice Address - Zip Code:29577-5799
Practice Address - Country:US
Practice Address - Phone:716-510-0841
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-10-15
Last Update Date:2014-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care