ICARE COMMUNITY SERVICE LLC

FORT WORTH, TX
NPI1548641434
Entity TypeOrganization
Authorized ContactTUAN NGOC PHAM
Owner
817-933-2411
Organization Subpart ?No
Primary Taxonomy302R00000X Health Maintenance Organization
Enumeration Date2015-06-16
Last Update Date2015-06-16
Business Address
ICARE COMMUNITY SERVICE LLC
5813 OAKMONT LN
FORT WORTH, TX 76112-2003
Phone number: 817-933-2411
Mailing Address
ICARE COMMUNITY SERVICE LLC
5813 OAKMONT LN
FORT WORTH, TX 76112-2003
Phone number: 817-933-2411
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