Provider Demographics
NPI:1679782510
Name:J WOODS ENTERPRISES LLC
Entity type:Organization
Organization Name:J WOODS ENTERPRISES LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JARRAD
Authorized Official - Middle Name:M
Authorized Official - Last Name:WOODS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:225-205-6209
Mailing Address - Street 1:13317 S CHOCTAW DR
Mailing Address - Street 2:SUITE C, ROOMS 3 & 4
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70815-2852
Mailing Address - Country:US
Mailing Address - Phone:225-272-0102
Mailing Address - Fax:225-272-0104
Practice Address - Street 1:13317 S CHOCTAW DR
Practice Address - Street 2:SUITE C, ROOMS 3 & 4
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70815-2852
Practice Address - Country:US
Practice Address - Phone:225-272-0102
Practice Address - Fax:225-272-0104
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-21
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies