Provider Demographics
NPI:1740576677
Name:DD'S HOME HEALTH AGENCY, CORP.
Entity Type:Organization
Organization Name:DD'S HOME HEALTH AGENCY, CORP.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR/DON
Authorized Official - Prefix:MR
Authorized Official - First Name:DILIO
Authorized Official - Middle Name:
Authorized Official - Last Name:BRAVO
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:305-267-6868
Mailing Address - Street 1:7333 SW 24TH ST
Mailing Address - Street 2:UNIT 105
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33155-1402
Mailing Address - Country:US
Mailing Address - Phone:305-267-6868
Mailing Address - Fax:305-267-6811
Practice Address - Street 1:7333 SW 24TH ST
Practice Address - Street 2:UNIT 105
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33155-1402
Practice Address - Country:US
Practice Address - Phone:305-267-6868
Practice Address - Fax:305-267-6811
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-06-20
Last Update Date:2011-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health