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Organization
MJA ENTERPRISES INC.
Active
Organization
MJA ENTERPRISES INC.
Active
Other names
ComForcare Home Care
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PHILIP H. KOCH CSA, MBA (PRESIDENT)
(704) 543-0630
Entity
Organization
Contact information
Practice address
7215 PINEVILLE-MATTHEWS RD.,, 200, CHARLOTTE, NC 28226-6174
(704) 543-0630
(704) 543-0560
Mailing address
7215 PINEVILLE-MATTHEWS RD.,, 200, CHARLOTTE, NC 28226-6174
(704) 543-0630
(704) 543-0560
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
HC3375
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3418126
CAP
NC
05
—
6601495
—
NC
Enumeration date
02/19/2007
Last updated
02/22/2013
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