Organization
AMBER HOSPICE LLC
Active
Other names
Lenity Light Hospice-Fort Worth
Organization subpart
No
Provider details
NPI number
Authorized official
MS. FATIN QUTOB (CIO)
(469) 757-1600
Entity
Organization
Contact information
Practice address
5802 WATAUGA RD, SUITE 100, WATAUGA, TX 76148-3069
(817) 406-1500
(817) 928-5692
Mailing address
5802 WATAUGA RD, SUITE 100, WATAUGA, TX 76148-3069
(817) 406-1500
(817) 928-5692
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
—
—
Other
Enumeration date
09/23/2019
Last updated
10/18/2022
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