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NPI Code Detail

MEDICARE: TOMI'S CARING HANDS SENIOR SERVICES

MEDICARE: TOMI'S CARING HANDS SENIOR SERVICES
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
1310400000XAssisted Living FacilityNA08234421TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
109659715OTHERTXDRIVER'S LICENSE

General Provider Information

NPI Number : 1053627752
Entity Type Code : Organization
Provider Name (Legal Business Name) : TOMI'S CARING HANDS SENIOR SERVICES
Provider Business Mailing Address
First Line : 1950 MILAM ST
Second Line :
City : FORT WORTH
State : TX
Zip : 76112-5217
Country : US
Telephone Number : 817-891-1570
Fax Number : 817-451-8173
Provider Business Practice Location Address
First Line : 1950 MILAM ST
Second Line :
City : FORT WORTH
State : TX
Zip : 76112-5217
Country : US
Telephone Number : 817-891-1570
Fax Number : 817-451-8173
Authorized Official
Title or Position : OWNER
Name : MS. TOMMIE ANITA BELL-BURRELL
Credential :
Telephone Number : 817-891-1570
Provider Enumeration Date : 08/19/2010
Last Update Date : 08/19/2010

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