Provider Demographics
NPI:1003001231
Name:D & J HOME CARE
Entity Type:Organization
Organization Name:D & J HOME CARE
Other - Org Name:COMFORT KEEPERS #544
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:DIANA
Authorized Official - Middle Name:VIVIAN
Authorized Official - Last Name:FRIES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:410-729-8404
Mailing Address - Street 1:408 HEADQUARTERS DR
Mailing Address - Street 2:SUITE 3-G
Mailing Address - City:MILLERSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21108-2550
Mailing Address - Country:US
Mailing Address - Phone:410-729-8404
Mailing Address - Fax:410-729-8406
Practice Address - Street 1:408 HEADQUARTERS DR
Practice Address - Street 2:SUITE 3-G
Practice Address - City:MILLERSVILLE
Practice Address - State:MD
Practice Address - Zip Code:21108-2550
Practice Address - Country:US
Practice Address - Phone:410-729-8404
Practice Address - Fax:410-729-8406
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-11
Last Update Date:2007-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health