Organization Name: | FSJN ENTERPRISES, INC |
NPI Number: | 1114381662 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | FRANK SHANNON (OWNER) |
Mailing Address: | 1802 W Berteau Ave Ste 202 Chicago |
State: | IL US |
Postal Code: | 606136182 |
Phone Number: | 6308027556 |
Fax Number: | |
NPI Enumeration Date: | 04/11/2016 |
NPI Last Update Date: | 04/11/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 253Z00000X |
License Number: | 3001394 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
Taxonomy Type: | Agencies |
Taxonomy Classification: | In Home Supportive Care |
Taxonomy Specialization: | |
Taxonomy Definition: | An In Home Supportive Care Agency provides services in the patient |