Organization
HERITAGE ADULT DAY HEALTH SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JOHNNIE MARIE BENSON B.S.-L.N.H.A. (CONSULTANT)
(817) 881-2929
Entity
Organization
Contact information
Practice address
150 S BEACH ST, SUITE A, FORT WORTH, TX 76105-1162
(817) 534-1935
(817) 531-0282
Mailing address
PO BOX 50069, FORT WORTH, TX 76105-0069
(817) 534-1935
(817) 531-0282
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
001536
TX
Other
Enumeration date
10/01/2007
Last updated
10/01/2007
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