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NPI Code Detail

MEDICARE: REJOICE WONDERFUL INC

MEDICARE: REJOICE WONDERFUL INC
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
1251E00000XHome Health Agency

General Provider Information

NPI Number : 1255967303
Entity Type Code : Organization
Provider Name (Legal Business Name) : REJOICE WONDERFUL INC
Provider Business Mailing Address
First Line : 3752 WALDORF ST
Second Line :
City : FORT WORTH
State : TX
Zip : 76119-2300
Country : US
Telephone Number : 817-451-0389
Fax Number :
Provider Business Practice Location Address
First Line : 3752 WALDORF ST
Second Line :
City : FORT WORTH
State : TX
Zip : 76119-2300
Country : US
Telephone Number : 817-451-0389
Fax Number :
Authorized Official
Title or Position : OWNER
Name : MRS. KATHY D HECKER
Credential :
Telephone Number : 817-451-0389
Provider Enumeration Date : 03/20/2020
Last Update Date : 03/20/2020

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Directions to “REJOICE WONDERFUL INC ” Practice Location

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