True Vine Connection, LLC
Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child in Fort Worth, TX. Organization (NPI-2).
NPI number1164078028
StatusActive
Last updated in NPPESAug 15, 2019
Details
- NPI
- 1164078028
- Entity type
- Organization (NPI-2)
- Legal business name
- True Vine Connection, LLC
- Organization subpart
- No
- Enumeration date
- Aug 15, 2019
- Last updated
- Aug 15, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 385HR2060X | Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child | – | – | Yes |
Practice location
4914 Inverness AveFort Worth, TX 76132-1608
Phone 682-203-1239
Mailing address
4809 Ellsworth StMansfield, TX 76063-1898
Phone 682-203-1239
Authorized official
Marcus Dunn
President
6822031239
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