Provider Demographics
NPI:1558708826
Name:BRUJAN CORP.
Entity Type:Organization
Organization Name:BRUJAN CORP.
Other - Org Name:CAREMINDERS HOME CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:VICE PRESIDENT OF QUALITY, SAFETY
Authorized Official - Prefix:
Authorized Official - First Name:PATRICIA
Authorized Official - Middle Name:S
Authorized Official - Last Name:SANDERS
Authorized Official - Suffix:
Authorized Official - Credentials:RN, CPHRM
Authorized Official - Phone:770-360-5554
Mailing Address - Street 1:540 LAKE CENTER PKWY STE 102
Mailing Address - Street 2:
Mailing Address - City:CUMMING
Mailing Address - State:GA
Mailing Address - Zip Code:30040-7729
Mailing Address - Country:US
Mailing Address - Phone:678-807-8207
Mailing Address - Fax:678-807-8063
Practice Address - Street 1:540 LAKE CENTER PKWY STE 102
Practice Address - Street 2:
Practice Address - City:CUMMING
Practice Address - State:GA
Practice Address - Zip Code:30040-7729
Practice Address - Country:US
Practice Address - Phone:678-807-8207
Practice Address - Fax:678-807-8063
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-05-28
Last Update Date:2013-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health