Provider Demographics
NPI:1871255976
Name:PAJU HEALTH CARE SERVICES LLC
Entity Type:Organization
Organization Name:PAJU HEALTH CARE SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:B
Authorized Official - Last Name:WASSWA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:240-762-9602
Mailing Address - Street 1:654 FORT EVANS RD NE APT 303
Mailing Address - Street 2:
Mailing Address - City:LEESBURG
Mailing Address - State:VA
Mailing Address - Zip Code:20176-4058
Mailing Address - Country:US
Mailing Address - Phone:703-992-5099
Mailing Address - Fax:
Practice Address - Street 1:654 FORT EVANS RD NE APT 303
Practice Address - Street 2:
Practice Address - City:LEESBURG
Practice Address - State:VA
Practice Address - Zip Code:20176-4058
Practice Address - Country:US
Practice Address - Phone:703-992-5099
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-10-06
Last Update Date:2021-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health