Organization
HOME OF ELEGANCE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DONNISHA BUNTING (OWNER)
(817) 204-8290
Entity
Organization
Contact information
Practice address
2901 THORSON LN APT 1207, FORT WORTH, TX 76116-2077
(817) 204-8290
Mailing address
2901 THORSON LN APT 1207, FORT WORTH, TX 76116-2077
(817) 204-8290
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
08/01/2020
Last updated
08/01/2020
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