Organization
DIA-ZZZ-LY ADULT CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MERCY NKERBU RN (ADMINISTRATOR)
(682) 706-3963
Entity
Organization
Contact information
Practice address
1201 N WATSON RD STE 294, ARLINGTON, TX 76006-6221
(682) 706-3963
(682) 706-3955
Mailing address
1201 N WATSON RD STE 294, ARLINGTON, TX 76006-6221
(682) 706-3963
(682) 706-3955
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3478786-01
—
TX
Enumeration date
02/14/2014
Last updated
02/27/2018
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