Provider Demographics
NPI:1366873648
Name:H & J CORP.
Entity type:Organization
Organization Name:H & J CORP.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER/DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:HERSEL
Authorized Official - Middle Name:
Authorized Official - Last Name:FOULADBASH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:989-551-2222
Mailing Address - Street 1:6024 PORT AUSTIN RD
Mailing Address - Street 2:
Mailing Address - City:CASEVILLE
Mailing Address - State:MI
Mailing Address - Zip Code:48725
Mailing Address - Country:US
Mailing Address - Phone:989-856-2500
Mailing Address - Fax:989-856-3698
Practice Address - Street 1:90 ROLLIE SMITH DR
Practice Address - Street 2:
Practice Address - City:PIGEON
Practice Address - State:MI
Practice Address - Zip Code:48755
Practice Address - Country:US
Practice Address - Phone:989-551-2222
Practice Address - Fax:989-453-2285
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-12-11
Last Update Date:2013-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253J00000XAgenciesFoster Care Agency