Organization Name: | DALJACO |
NPI Number: | 1104296466 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | D'ALAN BAUGH (OWNER) |
Mailing Address: | 6505 Ridenour Way E Suite 1b Eldersburg |
State: | MD US |
Postal Code: | 217846557 |
Phone Number: | 4105498002 |
Fax Number: | 4105492009 |
NPI Enumeration Date: | 09/30/2015 |
NPI Last Update Date: | 09/30/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 253Z00000X |
License Number: | R2176R |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MD |
Taxonomy Type: | Agencies |
Taxonomy Classification: | In Home Supportive Care |
Taxonomy Specialization: | |
Taxonomy Definition: | An In Home Supportive Care Agency provides services in the patient |