Healthcare Provider Details

I. General information

NPI: 1003515529
Provider Name (Legal Business Name): DRJ SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/23/2023
Last Update Date: 02/24/2023
Certification Date: 02/24/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

130 S UNIVERSITY DR STE F
PLANTATION FL
33324-3347
US

IV. Provider business mailing address

130 S UNIVERSITY DR STE F
PLANTATION FL
33324-3347
US

V. Phone/Fax

Practice location:
  • Phone: 954-990-4476
  • Fax: 954-206-4452
Mailing address:
  • Phone: 954-990-4476
  • Fax: 954-206-4452

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code385HR2060X
TaxonomyChild Intellectual and/or Developmental Disabilities Respite Care
License Number
License Number State

VIII. Authorized Official

Name: RAMONA PEREZ KORBA
Title or Position: OWNER
Credential: RN
Phone: 954-990-4476