Provider Demographics
NPI:1639814023
Name:DAISY HEALTHCARE SERVICES
Entity Type:Organization
Organization Name:DAISY HEALTHCARE SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:CHIDINMA
Authorized Official - Middle Name:LILIAN
Authorized Official - Last Name:NJOKU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:443-622-8520
Mailing Address - Street 1:4204 PINEFIELD CT
Mailing Address - Street 2:
Mailing Address - City:RANDALLSTOWN
Mailing Address - State:MD
Mailing Address - Zip Code:21133-5324
Mailing Address - Country:US
Mailing Address - Phone:443-622-8520
Mailing Address - Fax:
Practice Address - Street 1:4204 PINEFIELD CT
Practice Address - Street 2:
Practice Address - City:RANDALLSTOWN
Practice Address - State:MD
Practice Address - Zip Code:21133-5324
Practice Address - Country:US
Practice Address - Phone:443-622-8520
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-05-01
Last Update Date:2022-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities