Provider Demographics
NPI:1528412814
Name:DONEGAN SENIOR CARE INC
Entity Type:Organization
Organization Name:DONEGAN SENIOR CARE INC
Other - Org Name:GRISWOLD HOME CARE, ASPEN HILL-WHEATON
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:MIRZA
Authorized Official - Middle Name:JUDITH
Authorized Official - Last Name:DONEGAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:240-460-4218
Mailing Address - Street 1:14301 LAYHILL RD
Mailing Address - Street 2:205
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20906-1937
Mailing Address - Country:US
Mailing Address - Phone:240-460-4218
Mailing Address - Fax:301-710-5779
Practice Address - Street 1:14301 LAYHILL RD
Practice Address - Street 2:205
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20906-1937
Practice Address - Country:US
Practice Address - Phone:240-460-4218
Practice Address - Fax:301-710-5779
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-04-22
Last Update Date:2016-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDNR1120501253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care