Provider Demographics
NPI:1447797238
Name:D & D HEALTH LLC
Entity Type:Organization
Organization Name:D & D HEALTH LLC
Other - Org Name:D & D HEALTH
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:DORIS
Authorized Official - Middle Name:CUDJOE
Authorized Official - Last Name:OWUSU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:571-315-3313
Mailing Address - Street 1:3320 ANNE DE BOURGH DR
Mailing Address - Street 2:
Mailing Address - City:TRIANGLE
Mailing Address - State:VA
Mailing Address - Zip Code:22172-2350
Mailing Address - Country:US
Mailing Address - Phone:571-315-3313
Mailing Address - Fax:
Practice Address - Street 1:3320 ANNE DE BOURGH DR
Practice Address - Street 2:
Practice Address - City:TRIANGLE
Practice Address - State:VA
Practice Address - Zip Code:22172-2350
Practice Address - Country:US
Practice Address - Phone:571-315-3313
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-01-31
Last Update Date:2017-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health