Provider Demographics
NPI:1689249203
Name:ALJU TOTAL CARE, LLC
Entity Type:Organization
Organization Name:ALJU TOTAL CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:NAKITA
Authorized Official - Middle Name:N
Authorized Official - Last Name:COOLEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:586-422-7415
Mailing Address - Street 1:235 RAPID ST
Mailing Address - Street 2:
Mailing Address - City:PONTIAC
Mailing Address - State:MI
Mailing Address - Zip Code:48341-2254
Mailing Address - Country:US
Mailing Address - Phone:586-422-7415
Mailing Address - Fax:
Practice Address - Street 1:235 RAPID ST
Practice Address - Street 2:
Practice Address - City:PONTIAC
Practice Address - State:MI
Practice Address - Zip Code:48341-2254
Practice Address - Country:US
Practice Address - Phone:586-422-7415
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-05-25
Last Update Date:2021-05-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health