MEDICARE: FOLLOWERS OF CHRIST CHURCH

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
1	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1023460193
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FOLLOWERS OF CHRIST CHURCH

Provider Business Mailing Address
First Line	:	PO BOX 172312
Second Line	:
City	:	ARLINGTON
State	:	TX
Zip	:	76003-2312
Country	:	US
Telephone Number	:	817-969-5118
Fax Number	:	817-516-5486

Provider Business Practice Location Address
First Line	:	3716 DUTCH IRIS LN
Second Line	:
City	:	FOREST HILL
State	:	TX
Zip	:	76140-7006
Country	:	US
Telephone Number	:	817-969-5118
Fax Number	:	817-516-5486

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	MS. SUEKYA M LOCKE
Credential	:
Telephone Number	:	317-987-0877

Provider Enumeration Date	:	07/12/2016
Last Update Date	:	07/12/2016

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Directions to “FOLLOWERS OF CHRIST CHURCH ” Practice Location

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