Provider Demographics
NPI:1659741692
Name:SDW'S HOME CARE SERVICES LLC
Entity Type:Organization
Organization Name:SDW'S HOME CARE SERVICES LLC
Other - Org Name:SECURING DEDICATED WORKERS HOME CARE SERVICES LLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:JACQUELINE
Authorized Official - Middle Name:D
Authorized Official - Last Name:ALLEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:910-426-1221
Mailing Address - Street 1:458 FOXWOOD DR
Mailing Address - Street 2:
Mailing Address - City:HOPE MILLS
Mailing Address - State:NC
Mailing Address - Zip Code:28348-9117
Mailing Address - Country:US
Mailing Address - Phone:910-426-1221
Mailing Address - Fax:
Practice Address - Street 1:458 FOXWOOD DR
Practice Address - Street 2:
Practice Address - City:HOPE MILLS
Practice Address - State:NC
Practice Address - Zip Code:28348-9117
Practice Address - Country:US
Practice Address - Phone:910-426-1221
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-10-02
Last Update Date:2015-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCHC4788251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health