PROVISION HOME HEALTH

FORT WORTH, TX
NPI1770855231
Entity TypeOrganization
Authorized ContactTANISHA PERELLE MANUEL
Alternate Administrator
817-449-7193
Organization Subpart ?No
Primary Taxonomy251E00000X Home Health
(Licence: TX  173042)
Enumeration Date2012-01-30
Last Update Date2012-01-30
Business Address
PROVISION HOME HEALTH
3823 E LOOP 820 S
FORT WORTH, TX 76119-4337
Phone number: 817-449-7193
Mailing Address
PROVISION HOME HEALTH
3823 E LOOP 820 S
FORT WORTH, TX 76119-4337
Phone number: 817-449-7193