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NPI Code Detail

MEDICARE: DRD ENTERPRISES, INC.

MEDICARE: DRD ENTERPRISES, 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
1251E00000XHome Health Agency

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1831393065
Entity Type Code : Organization
Provider Name (Legal Business Name) : DRD ENTERPRISES, INC.
Provider Business Mailing Address
First Line : 3037 CENTER POINT RD NE
Second Line : SUITE 200
City : CEDAR RAPIDS
State : IA
Zip : 52402-4074
Country : US
Telephone Number : 319-364-2823
Fax Number :
Provider Business Practice Location Address
First Line : 3037 CENTER POINT RD NE
Second Line : SUITE 200
City : CEDAR RAPIDS
State : IA
Zip : 52402-4074
Country : US
Telephone Number : 319-364-2823
Fax Number :
Authorized Official
Title or Position : PRESIDENT AND OWNER
Name : MR. DOUGLAS R DIX
Credential : CSA
Telephone Number : 319-364-2823
Provider Enumeration Date : 06/12/2007
Last Update Date : 08/22/2020

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Directions to “DRD ENTERPRISES, INC. ” Practice Location

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