MEDICARE: ALBRIGHT FOSTER CARE

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	310400000X	Assisted Living Facility

General Provider Information

NPI Number	:	1154972362
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ALBRIGHT FOSTER CARE

Provider Business Mailing Address
First Line	:	7636 RED WILLOW RD
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76133-7571
Country	:	US
Telephone Number	:	817-706-2409
Fax Number	:

Provider Business Practice Location Address
First Line	:	7636 RED WILLOW RD
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76133-7571
Country	:	US
Telephone Number	:	817-706-2409
Fax Number	:

Authorized Official
Title or Position	:	CO-OWER OPERATOR
Name	:	MICHAEL ALBRIGHT
Credential	:
Telephone Number	:	817-706-2409

Provider Enumeration Date	:	09/28/2019
Last Update Date	:	09/28/2019

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