1427433192 NPI number — JANAL SERVICES, INC.

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1427433192 NPI number — JANAL SERVICES, INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
JANAL SERVICES, INC.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
6
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1427433192
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
07/23/2015
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
499 E PALMETTO PARK RD
Provider Second Line Business Mailing Address:
SUITE 229
Provider Business Mailing Address City Name:
BOCA RATON
Provider Business Mailing Address State Name:
FL
Provider Business Mailing Address Postal Code:
33432-5080
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
561-361-4560
Provider Business Mailing Address Fax Number:
561-361-2550

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
499 E PALMETTO PARK RD
Provider Second Line Business Practice Location Address:
SUITE 229
Provider Business Practice Location Address City Name:
BOCA RATON
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
33432-5080
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
561-361-4560
Provider Business Practice Location Address Fax Number:
561-361-2550
Provider Enumeration Date:
07/23/2015

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
HOLNESS
Authorized Official First Name:
JANET
Authorized Official Middle Name:
M
Authorized Official Title or Position:
CEO, CFO
Authorized Official Telephone Number:
561-361-4560

Provider Taxonomy Codes

  • Taxonomy code: 251E00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)