| NPI | 1184414195 |
|---|---|
| Doing Business As | SJ MEDICAL AND SUPPLY CO |
| Entity Type | Organization |
| Authorized Contact | JADE DANIELS Owner/President 501-500-3775 |
| Organization Subpart ? | No |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse |
| Additional Taxonomies | 251E00000X Home Health |
| 251J00000X Nursing Care | |
| 343900000X Non-emergency Medical Transport (VAN) | |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| Enumeration Date | 2025-05-12 |
| Last Update Date | 2025-05-12 |