Organization
TRUE VINE CONNECTION, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARCUS DUNN (PRESIDENT)
(682) 203-1239
Entity
Organization
Contact information
Practice address
4914 INVERNESS AVE, FORT WORTH, TX 76132-1608
(682) 203-1239
Mailing address
4809 ELLSWORTH ST, MANSFIELD, TX 76063-1898
(682) 203-1239
Taxonomy
Speciality
Code
Description
License number
State
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
Primary
—
—
Other
Enumeration date
08/15/2019
Last updated
08/15/2019
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