Healthcare Provider Details

I. General information

NPI: 1467376723
Provider Name (Legal Business Name): SWIFTCARE DDA SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/07/2026
Last Update Date: 08/07/2026
Certification Date: 08/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7687 CROSS CREEK DR
COLUMBIA MD
21044-4193
US

IV. Provider business mailing address

7687 CROSS CREEK DR
COLUMBIA MD
21044-4193
US

V. Phone/Fax

Practice location:
  • Phone: 410-831-8090
  • Fax: 562-534-6638
Mailing address:
  • Phone: 410-831-8090
  • Fax: 562-534-6638

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code385HR2060X
TaxonomyChild Intellectual and/or Developmental Disabilities Respite Care
License Number
License Number State

VIII. Authorized Official

Name: CHARLES SAGE DZACKA
Title or Position: OWNER/MANAGING MEMBER
Credential:
Phone: 410-831-8090