Provider Demographics
NPI:1518568922
Name:DIGNIFIED CARE, LLC
Entity Type:Organization
Organization Name:DIGNIFIED CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:BRANDI
Authorized Official - Middle Name:CHRISTIANA
Authorized Official - Last Name:WILLIAMS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:210-904-4475
Mailing Address - Street 1:6418 ECKHERT RD APT 3203
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78240-3097
Mailing Address - Country:US
Mailing Address - Phone:210-904-4475
Mailing Address - Fax:
Practice Address - Street 1:6418 ECKHERT RD APT 3203
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78240-3097
Practice Address - Country:US
Practice Address - Phone:210-904-4475
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-11-03
Last Update Date:2020-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care