Organization
DDM CASE MANAGEMENT SERVICES LLC
Active
Other names
DDM
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SPERLISHA VICTORIA AYENI (COMPLIANCE/OPERATIONS OFFICER)
(502) 384-6009
Entity
Organization
Contact information
Practice address
2210 MEADOW DRIVE, LOUISVILLE, KY 40218-1323
(502) 419-8268
Mailing address
2210 MEADOW DRIVE, LOUISVILLE, KY 40218-1323
(502) 384-6009
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
—
—
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100866410
—
KY
Enumeration date
02/02/2022
Last updated
04/25/2023
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