Organization
DLJ HEALTHCARE SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SHAWANA CHANITA-LATRICE JOHNSON (HUMAN RESOURCES COORDINATOR)
(704) 755-5050
Entity
Organization
Contact information
Practice address
1000 AMITY AVE, MUSKEGON, MI 49442-3711
(704) 755-5050
Mailing address
1000 AMITY AVE, MUSKEGON, MI 49442-3711
(704) 755-5050
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
12/20/2021
Last updated
12/20/2021
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