Self Richard Dba in Fort Worth - Residential Treatment Facility, Physical Disabilities
Self Richard Dba - NPI 1003062472
Self Richard Dba is a Residential Treatment Facility, Physical Disabilities in Fort Worth, Texas. Self Richard Dba practices all healthcare services and medical treatments related to Residential Treatment Facility, Physical Disabilities. The NPI Number for Self Richard Dba is 1003062472. The last update date is 2008-08-17.
Self Richard Dba's current location address is 6701 Calmont Ave Apt 101, Fort Worth, Texas. You can contact this provider via phone number 8173042892 and fax number 8172464764. The mailing address for Self Richard Dba is 6701 Calmont Ave Apt 101, Fort Worth, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Self Richard Dba |
|---|---|
| Address | 6701 Calmont Ave Apt 101, Fort Worth, Texas |
| Phone Number | 8173042892 |
| Fax Number | 8172464764 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | HOME HEALT |
|---|---|
| Authorized Official Name | Baker Ray Richard |
| Telephone Number | 8173048292 |
NPI Number Detail
| NPI Number | 1003062472 |
|---|---|
| Provider Enumeration Date | 2008-08-17 |
| Last Updated Date | 2008-08-17 |
Provider Mailing Address Detail
| Address | 6701 Calmont Ave Apt 101 |
|---|---|
| City | Fort Worth |
| State | Texas (TX) |
| Post Code | 761164239 |
| Phone Number | 8173042892 |
| Fax Number | 8172464764 |
Provider's Primary Taxonomy Detail
| Speciality | Residential Treatment Facility, Physical Disabilities |
|---|---|
| Taxonomy | 320700000X |
| Licence No | 9332825 |
|
Definition: A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with physical disabilities and are not able to live independently. |
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Post Comment/ Review Below
What is the unique identifier code issued to Self Richard Dba by the Centers for Medicare & Medicaid Services (CMS)?
The Self Richard Dba has been assigned the NPI (National Provider Identifier) 1003062472. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please share the complete physical address where Self Richard Dba is geographically located?
The Self Richard Dba is physically situated at the following location: 6701 Calmont Ave Apt 101, Fort Worth, TX, 761164239.
What is Self Richard Dba's specialized field of practice, and what is the corresponding taxonomy classification code?
The Self Richard Dba's area of specialization is Residential Treatment Facility, Physical Disabilities, and the corresponding taxonomy code that categorizes this field of practice is 320700000X.
On what date did the Self Richard Dba receive the assignment of its 1003062472 from the Centers for Medicare & Medicaid Services?
The Self Richard Dba was issued its 1003062472 by the Centers for Medicare & Medicaid Services on 2008-08-17.
As of what date were the details related to Self Richard Dba most recently updated or revised?
The information pertaining to Self Richard Dba, including its address, specialty, and other relevant details, was last updated or revised on 2008-08-17.
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