Organization
D'JANNIC GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JONN MAHATMA DMARTIN (CEO)
(925) 864-6128
Entity
Organization
Contact information
Practice address
7100 STEVENSON BLVD, SUITE 304, FREMONT, CA 94538-2485
(510) 398-7494
(510) 398-7495
Mailing address
7100 STEVENSON BLVD, SUITE 304, FREMONT, CA 94538-2485
(510) 398-7494
(510) 398-7495
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
—
—
Other
Enumeration date
01/14/2017
Last updated
01/14/2017
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