Provider Demographics
NPI:1730968017
Name:D&D HEALING HEADS HOME CARE LLC
Entity type:Organization
Organization Name:D&D HEALING HEADS HOME CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DESHELL
Authorized Official - Middle Name:
Authorized Official - Last Name:HAMILTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:854-213-0728
Mailing Address - Street 1:50 GRAHAM HALL S
Mailing Address - Street 2:
Mailing Address - City:RIDGELAND
Mailing Address - State:SC
Mailing Address - Zip Code:29936-7480
Mailing Address - Country:US
Mailing Address - Phone:854-213-0728
Mailing Address - Fax:
Practice Address - Street 1:50 GRAHAM HALL S
Practice Address - Street 2:
Practice Address - City:RIDGELAND
Practice Address - State:SC
Practice Address - Zip Code:29936-7480
Practice Address - Country:US
Practice Address - Phone:854-213-0728
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-09-26
Last Update Date:2023-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health