Provider Demographics
NPI:1144835968
Name:JFOX II LLC
Entity type:Organization
Organization Name:JFOX II LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LLC MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:ERIC
Authorized Official - Middle Name:
Authorized Official - Last Name:WILENS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:480-286-2686
Mailing Address - Street 1:23030 N 91ST DR
Mailing Address - Street 2:
Mailing Address - City:PEORIA
Mailing Address - State:AZ
Mailing Address - Zip Code:85383-4283
Mailing Address - Country:US
Mailing Address - Phone:480-286-2686
Mailing Address - Fax:
Practice Address - Street 1:5327 E ENROSE CIR
Practice Address - Street 2:
Practice Address - City:MESA
Practice Address - State:AZ
Practice Address - Zip Code:85205-5489
Practice Address - Country:US
Practice Address - Phone:480-243-5469
Practice Address - Fax:877-588-8282
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-09-09
Last Update Date:2025-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320800000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Mental Illness