Organization
DIESERU HEALTHCARE SERVICES LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JACOB DIESERU (ADMINISTRATOR/OWNER)
(682) 360-1115
Entity
Organization
Contact information
Practice address
2325 WOODMONT TRAIL, FORTH WORTH, TX 76133
(682) 360-1115
Mailing address
2325 WOODMONT TRAIL, FORTH WORTH, TX 76133
(682) 360-1115
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
09/13/2019
Last updated
09/13/2019
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