# SERVANTHOOD HOME HEALTH AGENCY

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Servanthood Home Health Agency
- **Organization subpart:** No

## Provider details

- **NPI number:** 1376188169
- **Authorized official:** MONIQUE KELLY (ADMIN)
- **Authorized official phone:** (414) 610-8655

## Contact information

- **Practice address:** 8309 FLYTHE MILL RD, FORT WORTH, TX 76120-2021
- **Practice address phone:** (414) 610-8655
- **Mailing address:** 8309 FLYTHE MILL RD, FORT WORTH, TX 76120-2021
- **Mailing address phone:** (414) 610-8655

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 11/15/2019
- **Last updated:** 11/15/2019