Provider Demographics
NPI:1275185498
Name:DDC SENIOR CARE LLC
Entity Type:Organization
Organization Name:DDC SENIOR CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CYNTHIA
Authorized Official - Middle Name:
Authorized Official - Last Name:PICARD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:228-334-5304
Mailing Address - Street 1:11247 KARLI LN
Mailing Address - Street 2:
Mailing Address - City:BILOXI
Mailing Address - State:MS
Mailing Address - Zip Code:39532-8026
Mailing Address - Country:US
Mailing Address - Phone:228-334-5304
Mailing Address - Fax:228-334-5246
Practice Address - Street 1:8400A OCEAN SPRINGS RD
Practice Address - Street 2:
Practice Address - City:OCEAN SPRINGS
Practice Address - State:MS
Practice Address - Zip Code:39564-4404
Practice Address - Country:US
Practice Address - Phone:228-334-5304
Practice Address - Fax:228-334-5246
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-07-09
Last Update Date:2019-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care