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General NPI Number Information
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NPI Number | 1922524834
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Entity Type | Organization
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Legal Business Name | DJK HOME HEALTHCARE, LLC
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Dates
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Enumeration Date | 08/22/2017
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Last Update Date | 12/10/2024
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Provider Practice Location Address
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Address Line | 4600 A MONTGOMERY BLVD NE SUITE A-101
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City | ALBUQUERQUE
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State | NM
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Zip | 87109-1218
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Country | US
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Telephone | 505-881-0054
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Fax | 808-551-0878
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Provider Business Mailing Address
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Address Line | 901 WATERFALL WAY STE 105
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City | RICHARDSON
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State | TX
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Zip | 75080-6753
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Country | US
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Telephone | 972-661-3737
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Fax | 972-661-3721
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Authorized Official
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Title or Position | CFO
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Name | MRS. JENNIFER HADFIELD
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Credential |
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Telephone | 214-244-2757
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251J00000X
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Taxonomy Name | Nursing Care Agency
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License Number |
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License Number State | NM
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Taxonomy #2
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Taxonomy Code | 261QC1500X
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Taxonomy Name | Community Health Clinic/Center
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 385H00000X
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Taxonomy Name | Respite Care
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License Number |
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License Number State | NM
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Taxonomy #4
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State | NM
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