Organization · NPI-2
1 Amazing Family, INC
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities · Fort Worth, TX
NPI number1972849594
StatusActive
Last updated in NPPESNov 21, 2013
Details
- NPI
- 1972849594
- Entity type
- Organization (NPI-2)
- Legal business name
- 1 Amazing Family, INC
- Organization subpart
- No
- Enumeration date
- Dec 31, 2012
- Last updated
- Nov 21, 2013
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 320900000X | Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | – | – | Yes |
Practice location
4017 Winter Springs DrFort Worth, TX 76123-3410
Phone 682-583-1367
Mailing address
4017 Winter Springs DrFort Worth, TX 76123-3410
Phone 682-583-1367
Authorized official
Carian L Jones
Owner/President
6825831367
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