Healthcare Provider Details
I. General information
NPI: 1922407071
Provider Name (Legal Business Name): DJCR INC.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 08/14/2014
Last Update Date: 07/23/2015
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
92 READS WAY SUITE 207
NEW CASTLE DE
19720-1631
US
IV. Provider business mailing address
92 READS WAY SUITE 207
NEW CASTLE DE
19720-1631
US
V. Phone/Fax
- Phone: 302-322-6717
- Fax: 302-322-6487
- Phone: 302-322-6717
- Fax: 302-322-6487
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 253Z00000X |
| Taxonomy | In Home Supportive Care Agency |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MRS.
JAMIE
SPENCE
RAMAGE
Title or Position: PRESIDENT
Credential:
Phone: 484-343-5478