Provider Demographics
NPI:1902622558
Name:DJC ROCK PROPERTIES LLC
Entity type:Organization
Organization Name:DJC ROCK PROPERTIES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JUDITH
Authorized Official - Middle Name:
Authorized Official - Last Name:CARTER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:480-442-7365
Mailing Address - Street 1:116 CALLE MANUEL DOMENECH UNIT 674
Mailing Address - Street 2:
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00918-3503
Mailing Address - Country:US
Mailing Address - Phone:787-425-4674
Mailing Address - Fax:623-321-1633
Practice Address - Street 1:116 CALLE MANUEL DOMENECH UNIT 674
Practice Address - Street 2:
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00918-3503
Practice Address - Country:US
Practice Address - Phone:787-425-4674
Practice Address - Fax:623-321-1633
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:DJC ROCK PROPERTIES LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2024-11-27
Last Update Date:2024-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care