Organization
MY HEALTH MY RESOURCES OF TARRANT COUNTY
Active
Other names
MHMR of Tarrant County
Organization subpart
No
Provider details
NPI number
Authorized official
ANGIE SWETT (CREDENTIALING MANAGER)
(817) 569-4300
Entity
Organization
Contact information
Practice address
5325 LOVELL AVE, FORT WORTH, TX 76107-5227
(817) 569-4396
(817) 569-4517
Mailing address
PO BOX 2603, FORT WORTH, TX 76113-2603
(817) 569-4300
(817) 569-4517
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000737101
—
TX
05
—
001019618
—
TX
05
—
001029084
—
TX
Enumeration date
05/09/2007
Last updated
09/06/2023
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