Provider Demographics
NPI:1164121778
Name:DESIRED HEALTHCARE SERVICES LLC
Entity Type:Organization
Organization Name:DESIRED HEALTHCARE SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:CAROLINE
Authorized Official - Middle Name:
Authorized Official - Last Name:WEKE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:214-764-4009
Mailing Address - Street 1:7444 GALLO
Mailing Address - Street 2:
Mailing Address - City:GRAND PRAIRIE
Mailing Address - State:TX
Mailing Address - Zip Code:75054-6777
Mailing Address - Country:US
Mailing Address - Phone:214-764-4009
Mailing Address - Fax:214-764-3443
Practice Address - Street 1:7444 GALLO
Practice Address - Street 2:
Practice Address - City:GRAND PRAIRIE
Practice Address - State:TX
Practice Address - Zip Code:75054-6777
Practice Address - Country:US
Practice Address - Phone:214-764-4009
Practice Address - Fax:214-764-3443
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-03-02
Last Update Date:2023-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health