Basic Information
| Provider Information | |||||||||
| NPI: | 1063780724 | ||||||||
| EntityType: | 2 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | D & D SERVICES INC | ||||||||
| LastName: | |||||||||
| FirstName: | |||||||||
| MiddleName: | |||||||||
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| Credential: | |||||||||
| OtherOrganizationName: | PREFERRED HOME HEALTH CARE | ||||||||
| OtherOrganizationType: | 3 | ||||||||
| OtherLastName: | |||||||||
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| Mailing Information | |||||||||
| Address1: | 945 SE 2ND ST | ||||||||
| Address2: | |||||||||
| City: | GALVA | ||||||||
| State: | IL | ||||||||
| PostalCode: | 614341531 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3099323000 | ||||||||
| FaxNumber: | 3099323033 | ||||||||
| Practice Location | |||||||||
| Address1: | 945 SE 2ND ST | ||||||||
| Address2: | |||||||||
| City: | GALVA | ||||||||
| State: | IL | ||||||||
| PostalCode: | 614341531 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3099323000 | ||||||||
| FaxNumber: | 3099323033 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 12/09/2011 | ||||||||
| LastUpdateDate: | 03/03/2015 | ||||||||
| NPIDeactivationReasonCode: | |||||||||
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| ProviderGenderCode: | |||||||||
| AuthorizedOfficialLastName: | DOSS | ||||||||
| AuthorizedOfficialFirstName: | JANE | ||||||||
| AuthorizedOfficialMiddleName: | E | ||||||||
| AuthorizedOfficialTitleorPosition: | PRESIDENT | ||||||||
| AuthorizedOfficialTelephone: | 9182522000 | ||||||||
| IsSoleProprietor: | |||||||||
| IsOrganizationSubpart: | N | ||||||||
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| NPICertificationDate: | |||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 251G00000X | 2003002 | IL | Y | Agencies | Hospice Care, Community Based |
No ID Information.