Provider Demographics
NPI:1922883735
Name:D&D HOMECARE, LLC
Entity Type:Organization
Organization Name:D&D HOMECARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:DENISHA
Authorized Official - Middle Name:LETHESIA
Authorized Official - Last Name:MOSS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:706-254-8217
Mailing Address - Street 1:448 HARRIS DR
Mailing Address - Street 2:
Mailing Address - City:CONYERS
Mailing Address - State:GA
Mailing Address - Zip Code:30012-6516
Mailing Address - Country:US
Mailing Address - Phone:706-254-8217
Mailing Address - Fax:888-390-6062
Practice Address - Street 1:448 HARRIS DR
Practice Address - Street 2:
Practice Address - City:CONYERS
Practice Address - State:GA
Practice Address - Zip Code:30012-6516
Practice Address - Country:US
Practice Address - Phone:706-254-8217
Practice Address - Fax:888-390-6062
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-08-29
Last Update Date:2023-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374U00000XNursing Service Related ProvidersHome Health AideGroup - Single Specialty