NPI | 1831611375 |
---|---|
Former Legal Business Name | D & D PRIMARY CARE LLC |
Entity Type | Organization |
Authorized Contact | DARLENE GORDON Owner/CEO/Aaprn/Fnp Bc 407-795-7705 |
Organization Subpart ? | No |
Primary Taxonomy | 363LC1500X Nurse Practitioner, Community Health |
Additional Taxonomies | 253Z00000X In Home Supportive Care |
320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | |
385H00000X Respite Care | |
Enumeration Date | 2017-07-15 |
Last Update Date | 2025-03-07 |