Provider Demographics
NPI:1861927196
Name:DJD HEALTHCARE, LLC
Entity type:Organization
Organization Name:DJD HEALTHCARE, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO & OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:DAN
Authorized Official - Middle Name:
Authorized Official - Last Name:DANZIG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:480-302-5139
Mailing Address - Street 1:8436 E SHEA BLVD
Mailing Address - Street 2:SUITE @ 101
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85260-6673
Mailing Address - Country:US
Mailing Address - Phone:480-302-5139
Mailing Address - Fax:480-302-5156
Practice Address - Street 1:8436 E SHEA BLVD
Practice Address - Street 2:SUITE @ 101
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85260-6673
Practice Address - Country:US
Practice Address - Phone:480-302-5139
Practice Address - Fax:480-302-5156
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-04-24
Last Update Date:2017-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health