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NPI Code Detail

MEDICARE: DKT HOMECARE SERVICES

MEDICARE: DKT HOMECARE SERVICES
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
1251E00000XHome Health Agency

General Provider Information

NPI Number : 1386968386
Entity Type Code : Organization
Provider Name (Legal Business Name) : DKT HOMECARE SERVICES
Provider Business Mailing Address
First Line : 5029 LINCOLN OAKS DR S
Second Line : 1401
City : FORT WORTH
State : TX
Zip : 76132-2288
Country : US
Telephone Number : 817-386-3128
Fax Number : 817-370-1153
Provider Business Practice Location Address
First Line : 5029 LINCOLN OAKS DR S
Second Line : 1401
City : FORT WORTH
State : TX
Zip : 76132-2288
Country : US
Telephone Number : 817-386-3128
Fax Number : 817-370-1153
Authorized Official
Title or Position : ADMINISTRATOR
Name : TENIQUA MAYES
Credential :
Telephone Number : 817-386-3128
Provider Enumeration Date : 03/18/2010
Last Update Date : 03/18/2010

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Directions to “DKT HOMECARE SERVICES ” Practice Location

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