Provider Demographics
NPI:1376716225
Name:DMJ ENTERPRISES DBA/ACCESS IN-HOME SERVICES
Entity Type:Organization
Organization Name:DMJ ENTERPRISES DBA/ACCESS IN-HOME SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:ALLEN
Authorized Official - Middle Name:
Authorized Official - Last Name:DUBOSE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:334-671-2338
Mailing Address - Street 1:1971 S BRANNON STAND RD
Mailing Address - Street 2:SUITE #2
Mailing Address - City:DOTHAN
Mailing Address - State:AL
Mailing Address - Zip Code:36305-7180
Mailing Address - Country:US
Mailing Address - Phone:334-671-2338
Mailing Address - Fax:334-671-2338
Practice Address - Street 1:1971 S BRANNON STAND RD
Practice Address - Street 2:SUITE #2
Practice Address - City:DOTHAN
Practice Address - State:AL
Practice Address - Zip Code:36305-7180
Practice Address - Country:US
Practice Address - Phone:334-671-2338
Practice Address - Fax:334-671-2338
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-10
Last Update Date:2008-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL0072309251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health