Organization Name: | JAY SHREE KRISHNA LLC |
NPI Number: | 1770998833 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | NITA K PANCHAL (MEMBER) |
Mailing Address: | 101 Industrial Ave Little Ferry |
State: | NJ US |
Postal Code: | 076431901 |
Phone Number: | 9732025072 |
Fax Number: | 9738823162 |
NPI Enumeration Date: | 06/27/2014 |
NPI Last Update Date: | 06/27/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QA0600X |
License Number: | 261QA0600X |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Adult Day Care |
Taxonomy Definition: |