Provider Demographics
NPI:1174834840
Name:EJ PROFESSIONAL HEALTH CARE,LLC
Entity Type:Organization
Organization Name:EJ PROFESSIONAL HEALTH CARE,LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:ELIZABETH
Authorized Official - Middle Name:JAMES
Authorized Official - Last Name:LUHANGA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:240-383-7886
Mailing Address - Street 1:143 KENNEDY ST NW
Mailing Address - Street 2:SUITE 06
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20011-5228
Mailing Address - Country:US
Mailing Address - Phone:240-383-7886
Mailing Address - Fax:240-347-6049
Practice Address - Street 1:143 KENNEDY ST NW
Practice Address - Street 2:SUITE 06
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20011-5228
Practice Address - Country:US
Practice Address - Phone:240-383-7886
Practice Address - Fax:240-347-6049
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-06-28
Last Update Date:2010-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health