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Organization
MY SAINTS
Active
Organization
MY SAINTS
Active
Parent organization
MY SAINTS
Organization subpart
Yes
Provider details
NPI number
Legal business name
MY SAINTS
Authorized official
SHAEDERRICA THEUS (MEDICAL PROFESSIONAL)
(318) 762-1281
Entity
Organization
Contact information
Practice address
8640 COVE MEADOW LN, FT WORTH, TX 76123-2330
(318) 762-1281
Mailing address
5311 WENDEL DR, FT WORTH, TX 76133-4813
(318) 762-1281
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
081112616
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
081112616
DBA
TX
Enumeration date
03/15/2018
Last updated
03/15/2018
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