Organization Name: | DDSDREAM,LLC |
NPI Number: | 1396139945 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DIANA SUE HURST (CEO/OWNER) |
Mailing Address: | 112 Merchants Square Dr Cartersville |
State: | GA US |
Postal Code: | 301212258 |
Phone Number: | 7706069293 |
Fax Number: | 7706068113 |
NPI Enumeration Date: | 03/21/2015 |
NPI Last Update Date: | 11/05/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332B00000X |
License Number: | 15023813 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | GA |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
Taxonomy Specialization: | |
Taxonomy Definition: | A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient |