Provider Demographics
NPI:1285867622
Name:DJC HOME HEALTHCARE SERVICES
Entity Type:Organization
Organization Name:DJC HOME HEALTHCARE SERVICES
Other - Org Name:COMFORCARE SENIOR SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:BRENDA
Authorized Official - Middle Name:DENISE
Authorized Official - Last Name:POPE
Authorized Official - Suffix:
Authorized Official - Credentials:MT(ASCP)
Authorized Official - Phone:410-672-8906
Mailing Address - Street 1:P. O. BOX 307
Mailing Address - Street 2:
Mailing Address - City:ODENTON
Mailing Address - State:MD
Mailing Address - Zip Code:21113-1207
Mailing Address - Country:US
Mailing Address - Phone:410-672-8906
Mailing Address - Fax:410-672-8908
Practice Address - Street 1:1413 ANNAPOLIS RD
Practice Address - Street 2:SUITE 106
Practice Address - City:ODENTON
Practice Address - State:MD
Practice Address - Zip Code:21113-1216
Practice Address - Country:US
Practice Address - Phone:410-672-8906
Practice Address - Fax:410-672-8908
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-09-02
Last Update Date:2009-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR2782251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health