Provider Demographics
NPI:1699511634
Name:DJM FARMS LLC
Entity type:Organization
Organization Name:DJM FARMS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:JAMES
Authorized Official - Last Name:MAJORS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:517-297-4181
Mailing Address - Street 1:10959 W CHICAGO RD
Mailing Address - Street 2:
Mailing Address - City:ALLEN
Mailing Address - State:MI
Mailing Address - Zip Code:49227-9404
Mailing Address - Country:US
Mailing Address - Phone:172-974-1815
Mailing Address - Fax:
Practice Address - Street 1:28 W CHICAGO ST STE 1B
Practice Address - Street 2:
Practice Address - City:COLDWATER
Practice Address - State:MI
Practice Address - Zip Code:49036-1678
Practice Address - Country:US
Practice Address - Phone:517-297-4181
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:DJM FARMS LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2024-07-08
Last Update Date:2024-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health