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NPI Code Detail

MEDICARE: DDD VENTURES, INC.

MEDICARE: DDD VENTURES, INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1253Z00000XIn Home Supportive Care Agency

General Provider Information

NPI Number : 1851722961
Entity Type Code : Organization
Provider Name (Legal Business Name) : DDD VENTURES, INC.
Provider Business Mailing Address
First Line : 581 JERNIGAN RD
Second Line :
City : COPPER CANYON
State : TX
Zip : 75077-8596
Country : US
Telephone Number : 214-543-3607
Fax Number :
Provider Business Practice Location Address
First Line : 2609 SAGEBRUSH DR STE 204
Second Line :
City : FLOWER MOUND
State : TX
Zip : 75028-4670
Country : US
Telephone Number : 214-543-3607
Fax Number :
Authorized Official
Title or Position : PRESIDENT
Name : MR. KELLY DEAN DAVIS
Credential :
Telephone Number : 214-543-3607
Provider Enumeration Date : 11/29/2013
Last Update Date : 11/29/2013

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Directions to “DDD VENTURES, INC. ” Practice Location

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