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NPI Code Detail

MEDICARE: DHC OPCO-AUSTIN, LLC

MEDICARE: DHC OPCO-AUSTIN, LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1310400000XAssisted Living Facility

General Provider Information

NPI Number : 1255144812
Entity Type Code : Organization
Provider Name (Legal Business Name) : DHC OPCO-AUSTIN, LLC
Provider Business Mailing Address
First Line : 210 MAGNATE DR
Second Line :
City : LAFAYETTE
State : LA
Zip : 70508-3871
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 6500 BRUSH COUNTRY RD
Second Line :
City : AUSTIN
State : TX
Zip : 78749-1403
Country : US
Telephone Number : 512-892-5774
Fax Number :
Authorized Official
Title or Position : CREDENTIALING REP
Name : JENNY BONO
Credential :
Telephone Number : 337-532-5799
Provider Enumeration Date : 01/28/2025
Last Update Date : 01/28/2025

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Directions to “DHC OPCO-AUSTIN, LLC ” Practice Location

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