Provider Demographics
NPI:1295249621
Name:DIRECT CARE SERVICES LLC
Entity type:Organization
Organization Name:DIRECT CARE SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:JOY
Authorized Official - Middle Name:A
Authorized Official - Last Name:OHAKWE
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:770-837-4820
Mailing Address - Street 1:7715 BANTRY LN
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75248-1705
Mailing Address - Country:US
Mailing Address - Phone:770-837-4820
Mailing Address - Fax:972-598-0384
Practice Address - Street 1:7715 BANTRY LN
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75248-1705
Practice Address - Country:US
Practice Address - Phone:770-837-4820
Practice Address - Fax:972-598-0384
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-11-21
Last Update Date:2017-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health