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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