| Cjw Life Care Llc | |
|
312 Cardinal Dr Charlotte Court House VA 23923-3789 | |
| (434) 390-9335 | |
| Not Available |
| Full Name | Cjw Life Care Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 312 Cardinal Dr, Charlotte Court House, Virginia |
| Authorized Official Name and Position | Carmalita Genay Escoto (OWNER/MANAGER) |
| Authorized Official Contact | 4343909335 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cjw Life Care Llc Po Box 573 Charlotte Court House VA 23923-0573 Ph: (434) 390-9335 | Cjw Life Care Llc 312 Cardinal Dr Charlotte Court House VA 23923-3789 Ph: (434) 390-9335 |
| NPI Number | 1427712355 |
|---|---|
| Provider Enumeration Date | 10/27/2021 |
| Last Update Date | 10/27/2021 |
| Certification Date | 10/26/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427712355 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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