Provider Demographics
NPI:1780153916
Name:DJT HEALTH SERVICES INC
Entity type:Organization
Organization Name:DJT HEALTH SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:RIEMAN
Authorized Official - Middle Name:KEAMDJOU
Authorized Official - Last Name:DJAKOU KAHAK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:240-723-1709
Mailing Address - Street 1:7826 EASTERN AVE NW STE LL14
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20012-1328
Mailing Address - Country:US
Mailing Address - Phone:240-723-1709
Mailing Address - Fax:
Practice Address - Street 1:7826 EASTERN AVE NW STE LL14
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20012-1328
Practice Address - Country:US
Practice Address - Phone:240-723-1709
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-11-16
Last Update Date:2018-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No251C00000XAgenciesDay Training, Developmentally Disabled Services
No251S00000XAgenciesCommunity/Behavioral Health
No253Z00000XAgenciesIn Home Supportive Care
No261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health