Provider Demographics
NPI:1629458260
Name:DJW SERVICE CORPORATION
Entity Type:Organization
Organization Name:DJW SERVICE CORPORATION
Other - Org Name:TOUCHING HEARTS AT HOME
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:JAMES
Authorized Official - Last Name:WILSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:610-557-0270
Mailing Address - Street 1:257 W UWCHLAN AVE
Mailing Address - Street 2:SUITE 229
Mailing Address - City:DOWNINGTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:19335-3587
Mailing Address - Country:US
Mailing Address - Phone:610-557-0270
Mailing Address - Fax:
Practice Address - Street 1:257 W UWCHLAN AVE
Practice Address - Street 2:SUITE 229
Practice Address - City:DOWNINGTOWN
Practice Address - State:PA
Practice Address - Zip Code:19335-3587
Practice Address - Country:US
Practice Address - Phone:610-557-0270
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-06-08
Last Update Date:2015-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA27433601253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care