Organization
CIRCLE OF LOVE NETWORK
Active
Organization subpart
No
Provider details
NPI number
Authorized official
REGINA GUY (CHIEF EXECUTIVE OFFICER)
(682) 203-5975
Entity
Organization
Contact information
Practice address
9105 ALANBROOKE CT, FORT WORTH, TX 76140-5167
(682) 203-5975
Mailing address
9105 ALANBROOKE CT, FORT WORTH, TX 76140-5167
(682) 203-5975
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
TX
347B00000X
Bus
—
TX
347C00000X
Private Vehicle
—
—
Other
Enumeration date
10/14/2014
Last updated
10/14/2014
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