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NPI Code Detail

MEDICARE: DEVOTED CARE, LLC

MEDICARE: DEVOTED CARE, 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
1320800000XMental Illness Community Based Residential Treatment FacilityTX

General Provider Information

NPI Number : 1609254655
Entity Type Code : Organization
Provider Name (Legal Business Name) : DEVOTED CARE, LLC
Provider Business Mailing Address
First Line : 2300 VALLEY VIEW LN STE 220
Second Line :
City : IRVING
State : TX
Zip : 75062-1732
Country : US
Telephone Number : 214-229-9902
Fax Number :
Provider Business Practice Location Address
First Line : 2300 VALLEY VIEW LN STE 220
Second Line :
City : IRVING
State : TX
Zip : 75062-1732
Country : US
Telephone Number : 512-848-6498
Fax Number :
Authorized Official
Title or Position : CEO
Name : CYRIL ODIACHI
Credential :
Telephone Number : 214-229-9902
Provider Enumeration Date : 05/11/2015
Last Update Date : 02/26/2026

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Directions to “DEVOTED CARE, LLC ” Practice Location

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