MEDICARE: DJN ASSOCIATES, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	253Z00000X	In Home Supportive Care Agency	HP0185800	NJ

General Provider Information

NPI Number	:	1487071296
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DJN ASSOCIATES, LLC

Provider Business Mailing Address
First Line	:	2 COMMERCE PL
Second Line	:
City	:	MOUNT HOLLY
State	:	NJ
Zip	:	08060-1735
Country	:	US
Telephone Number	:	609-288-2102
Fax Number	:

Provider Business Practice Location Address
First Line	:	2 COMMERCE PL
Second Line	:
City	:	MOUNT HOLLY
State	:	NJ
Zip	:	08060-1735
Country	:	US
Telephone Number	:	609-288-2102
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT/OWNER
Name	:	MR. RONALD C. DADINO
Credential	:	R.PH.
Telephone Number	:	609-288-2102

Provider Enumeration Date	:	03/19/2014
Last Update Date	:	03/19/2014

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