A Family Care Residential Services, INC
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Fort Worth, TX. Organization (NPI-2).
NPI number1760771323
StatusActive
Last updated in NPPESApr 5, 2011
Details
- NPI
- 1760771323
- Entity type
- Organization (NPI-2)
- Legal business name
- A Family Care Residential Services, INC
- Organization subpart
- No
- Enumeration date
- Apr 5, 2011
- Last updated
- Apr 5, 2011
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 320900000X | Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | – | – | Yes |
Practice location
3109 Prairie AveFort Worth, TX 76106-5473
Phone 817-205-8274
Mailing address
3109 Prairie AveFort Worth, TX 76106-5473
Authorized official
Charlesetta Robertson
President
8172058274
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