Provider Demographics
NPI:1235328162
Name:DOC'S NURSING JOBS, INC
Entity Type:Organization
Organization Name:DOC'S NURSING JOBS, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:GIBSON
Authorized Official - Middle Name:KEMKOM
Authorized Official - Last Name:ORIJI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:301-540-8444
Mailing Address - Street 1:23322 RAINBOW ARCH DR
Mailing Address - Street 2:
Mailing Address - City:CLARKSBURG
Mailing Address - State:MD
Mailing Address - Zip Code:20871-4439
Mailing Address - Country:US
Mailing Address - Phone:301-540-8444
Mailing Address - Fax:707-222-3649
Practice Address - Street 1:23322 RAINBOW ARCH DR
Practice Address - Street 2:
Practice Address - City:CLARKSBURG
Practice Address - State:MD
Practice Address - Zip Code:20871-4439
Practice Address - Country:US
Practice Address - Phone:301-540-8444
Practice Address - Fax:707-222-3649
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-16
Last Update Date:2007-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR2426251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health