Organization
D & J ENTERPRISE
Active
Other names
Calvary Home Healthcare Services
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JUDITH ANITA RUSSELL (ADMINISTRATOR)
(336) 722-4777
Entity
Organization
Contact information
Practice address
1001 S MARSHALL ST, BOX 81, WINSTON SALEM, NC 27101-5852
(336) 722-4777
(336) 722-0097
Mailing address
1001 S MARSHALL ST, BOX 81, WINSTON SALEM, NC 27101-5852
(336) 722-4777
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
NC
251E00000X
Home Health Agency
HC2988
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3409620
—
NC
05
—
6601278
—
NC
05
—
8300189
—
NC
Enumeration date
09/27/2006
Last updated
09/11/2025
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