MEDICARE: D&D COMPASSIONATE CARE

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
1	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1205561321
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	D&D COMPASSIONATE CARE

Provider Business Mailing Address
First Line	:	6404 PARK HALL DRIVE WEST
Second Line	:
City	:	LAUREL
State	:	MD
Zip	:	20707
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	6404 PARK HALL DRIVE WEST
Second Line	:
City	:	LAUREL
State	:	MD
Zip	:	20707-2070
Country	:	US
Telephone Number	:	301-412-0306
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MRS. DORIFLORE EDWARDS
Credential	:
Telephone Number	:	301-412-0306

Provider Enumeration Date	:	07/21/2022
Last Update Date	:	07/21/2022

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Directions to “D&D COMPASSIONATE CARE ” Practice Location

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