Provider Demographics
NPI:1497909337
Name:DCC SOLUTIONS LLC
Entity Type:Organization
Organization Name:DCC SOLUTIONS LLC
Other - Org Name:HOME HELPERS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:CONNIE
Authorized Official - Middle Name:P
Authorized Official - Last Name:CLARK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:208-769-9560
Mailing Address - Street 1:2106 E STANLEY HILL RD
Mailing Address - Street 2:
Mailing Address - City:COEUR D ALENE
Mailing Address - State:ID
Mailing Address - Zip Code:83814-6031
Mailing Address - Country:US
Mailing Address - Phone:208-769-9560
Mailing Address - Fax:208-769-9522
Practice Address - Street 1:2106 E STANLEY HILL RD
Practice Address - Street 2:
Practice Address - City:COEUR D ALENE
Practice Address - State:ID
Practice Address - Zip Code:83814-6031
Practice Address - Country:US
Practice Address - Phone:208-769-9560
Practice Address - Fax:208-769-9522
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-11-05
Last Update Date:2008-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
ID808144900Medicaid