| Jlr Ventures Llc | |
|
4011 Ga Highway 40 E Saint Marys GA 31558-4067 | |
| (912) 882-3323 | |
| Not Available |
| Full Name | Jlr Ventures Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 4011 Ga Highway 40 E, Saint Marys, Georgia |
| Authorized Official Name and Position | Joseph Ritola (OWNER) |
| Authorized Official Contact | 4047297496 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jlr Ventures Llc 4011 Ga Highway 40 E Saint Marys GA 31558-4067 Ph: (912) 882-3323 | Jlr Ventures Llc 4011 Ga Highway 40 E Saint Marys GA 31558-4067 Ph: (912) 882-3323 |
| NPI Number | 1659130912 |
|---|---|
| Provider Enumeration Date | 03/18/2024 |
| Last Update Date | 03/18/2024 |
| Medicare PECOS PAC ID | 8123466232 |
|---|---|
| Medicare Enrollment ID | O20250306003444 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659130912 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Joseph L Ritola |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1003293945 PECOS PAC ID: 7618207044 Enrollment ID: I20250306003547 |
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