Organization
TANDY VILLAGE ASSISTED LIVING
Active
Other names
Romans House LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MS. NELLIE S. QUETON (BUSINESS OFFICE MANAGER)
(817) 535-1253
Entity
Organization
Contact information
Practice address
2601 TANDY AVE, FORT WORTH, TX 76103-2552
(817) 535-1253
(817) 536-0177
Mailing address
2601 TANDY AVE, FORT WORTH, TX 76103-2552
(817) 535-1253
(817) 536-0177
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
125808
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000964
TEXAS DEPT OF AGING AND DISABILITY- DADS
TX
Enumeration date
01/21/2009
Last updated
01/21/2009
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