Healthcare Provider Details

I. General information

NPI: 1003695040
Provider Name (Legal Business Name): DMJ CARE SOLUTIONS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/28/2023
Last Update Date: 09/28/2023
Certification Date: 09/28/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3446 COUNTRYSIDE CIR
AUBURN HILLS MI
48326-2220
US

IV. Provider business mailing address

145 S LIVERNOIS RD STE 316
ROCHESTER HILLS MI
48307-1837
US

V. Phone/Fax

Practice location:
  • Phone: 949-436-5578
  • Fax:
Mailing address:
  • Phone: 949-436-5578
  • Fax:

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 Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: DERRICK MARK JOYNER
Title or Position: CEO
Credential:
Phone: 949-436-5578