Provider Demographics
NPI:1487932356
Name:TRIPLE J'S NEW BEGINNINGS INC.
Entity type:Organization
Organization Name:TRIPLE J'S NEW BEGINNINGS INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MERCY
Authorized Official - Middle Name:
Authorized Official - Last Name:IGIOGBE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:313-522-1421
Mailing Address - Street 1:34414 ORSINI DR
Mailing Address - Street 2:
Mailing Address - City:STERLING HEIGHTS
Mailing Address - State:MI
Mailing Address - Zip Code:48312-5774
Mailing Address - Country:US
Mailing Address - Phone:313-522-1421
Mailing Address - Fax:586-693-5878
Practice Address - Street 1:34414 ORSINI DR
Practice Address - Street 2:
Practice Address - City:STERLING HEIGHTS
Practice Address - State:MI
Practice Address - Zip Code:48312-5774
Practice Address - Country:US
Practice Address - Phone:313-522-1421
Practice Address - Fax:586-693-5878
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-07-26
Last Update Date:2011-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health