Organization
REFUGIO SENIOR CENTER
Active
Organization
REFUGIO SENIOR CENTER
Active
Parent organization
MANAGING MEMBER
Organization subpart
Yes
Provider details
NPI number
Legal business name
MANAGING MEMBER
Authorized official
MR. URIEL ENRIQUEZ (MANAGING MEMBER)
(972) 465-0491
Entity
Organization
Contact information
Practice address
303 W CENTRAL AVE, FORT WORTH, TX 76164-9131
(972) 465-0491
Mailing address
303 W CENTRAL AVE, FORT WORTH, TX 76164-9131
(972) 465-0491
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
—
TX
311ZA0620X
Adult Care Home Facility
—
TX
343800000X
Secured Medical Transport (VAN)
Primary
—
TX
Other
Enumeration date
11/05/2008
Last updated
07/21/2022
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