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NPI Code Detail

MEDICARE: ALL CHURCH HOME FOR CHILDREN

MEDICARE: ALL CHURCH HOME FOR CHILDREN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251S00000XCommunity/Behavioral Health Agency

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1013042746
Entity Type Code : Organization
Provider Name (Legal Business Name) : ALL CHURCH HOME FOR CHILDREN
Provider Business Mailing Address
First Line : 3712 WICHITA ST
Second Line :
City : FORT WORTH
State : TX
Zip : 76119-2866
Country : US
Telephone Number : 817-335-4041
Fax Number : 217-887-2735
Provider Business Practice Location Address
First Line : 3712 WICHITA ST
Second Line :
City : FORT WORTH
State : TX
Zip : 76119-2866
Country : US
Telephone Number : 817-335-4041
Fax Number : 217-887-2735
Authorized Official
Title or Position : DIRECTOR OF ACCOUNTING
Name : SUSAN ZALETEL
Credential :
Telephone Number : 817-886-7109
Provider Enumeration Date : 02/22/2007
Last Update Date : 08/12/2016

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Directions to “ALL CHURCH HOME FOR CHILDREN ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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