Healthcare Provider Details

I. General information

NPI: 1972981660
Provider Name (Legal Business Name): DC HOME CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/13/2015
Last Update Date: 05/13/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

526 WILLOWOOD LN
LANCASTER TX
75134-2518
US

IV. Provider business mailing address

526 WILLOWOOD LN
LANCASTER TX
75134-2518
US

V. Phone/Fax

Practice location:
  • Phone: 214-982-4734
  • Fax:
Mailing address:
  • Phone: 214-982-4734
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code385HR2060X
TaxonomyChild Intellectual and/or Developmental Disabilities Respite Care
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code347C00000X
TaxonomyPrivate Vehicle
License Number
License Number State

VIII. Authorized Official

Name: MS. DEBRA K CARTER
Title or Position: PRESIDENT
Credential:
Phone: 214-982-4734