Provider Demographics
NPI:1710293600
Name:DDF CARE
Entity Type:Organization
Organization Name:DDF CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:BOMYEH
Authorized Official - Middle Name:
Authorized Official - Last Name:NJIKA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:404-542-8898
Mailing Address - Street 1:27 COHRAN LAKE CT
Mailing Address - Street 2:
Mailing Address - City:DOUGLASVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30134-7213
Mailing Address - Country:US
Mailing Address - Phone:404-542-8898
Mailing Address - Fax:
Practice Address - Street 1:27 COHRAN LAKE CT
Practice Address - Street 2:
Practice Address - City:DOUGLASVILLE
Practice Address - State:GA
Practice Address - Zip Code:30134-7213
Practice Address - Country:US
Practice Address - Phone:404-542-8898
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-08-30
Last Update Date:2010-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA110-R-0776251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health