# CAPITOL DIVERSIFIED SERVICES, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Living At Home
- **Organization subpart:** No

## Provider details

- **NPI number:** 1699037085
- **Authorized official:** MR. RONALD D BENNETT (CHIEF EXECUTIVE MEMBER)
- **Authorized official phone:** (512) 767-0055

## Contact information

- **Practice address:** 7724 EL DORADO DR, AUSTIN, TX 78737-3005
- **Practice address phone:** (512) 767-0055
- **Practice address fax:** (512) 597-8824
- **Mailing address:** PO BOX 92944, AUSTIN, TX 78709-2944
- **Mailing address phone:** (512) 767-0055
- **Mailing address fax:** (512) 597-8824

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 06/12/2012
- **Last updated:** 11/12/2014