Healthcare Provider Details

I. General information

NPI: 1710891031
Provider Name (Legal Business Name): D & D RESIDENTIAL AND LAWNCARE SERVICES LLC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/01/2026
Last Update Date: 10/01/2026
Certification Date: 10/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2639 CRYSTAL SPRINGS DR
FAYETTEVILLE NC
28306-2602
US

IV. Provider business mailing address

PO BOX 211
WILSONS MILLS NC
27593-0211
US

V. Phone/Fax

Practice location:
  • Phone: 919-738-7375
  • Fax:
Mailing address:
  • Phone: 919-738-7375
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code322D00000X
TaxonomyEmotionally Disturbed Childrens' Residential Treatment Facility
License Number
License Number StateNULL

VIII. Authorized Official

Name: DAYQUAN GRANTHAM
Title or Position: OWNER
Credential:
Phone: 919-738-7375