Provider Demographics
NPI:1851900021
Name:ALL DAY SMILES COMPANION CARE LLC
Entity Type:Organization
Organization Name:ALL DAY SMILES COMPANION CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:DWAYNE
Authorized Official - Middle Name:KENNETH
Authorized Official - Last Name:DAVIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:202-868-7078
Mailing Address - Street 1:5965 GRAND PAVILION WAY UNIT 103
Mailing Address - Street 2:
Mailing Address - City:ALEXANDRIA
Mailing Address - State:VA
Mailing Address - Zip Code:22303-2284
Mailing Address - Country:US
Mailing Address - Phone:202-868-7078
Mailing Address - Fax:
Practice Address - Street 1:5965 GRAND PAVILION WAY UNIT 103
Practice Address - Street 2:
Practice Address - City:ALEXANDRIA
Practice Address - State:VA
Practice Address - Zip Code:22303-2284
Practice Address - Country:US
Practice Address - Phone:202-868-7078
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-07-23
Last Update Date:2020-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care