Individual
BRENDA DENISE WASHINGTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4813 TRAIL LAKE DR, FORT WORTH, TX 76133-1233
(817) 902-3631
(817) 902-3631
Mailing address
4813 TRAIL LAKE DR, FORT WORTH, TX 76133-1233
(817) 902-3631
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251G00000X
Community Based Hospice Care Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
261QC1500X
Community Health Clinic/Center
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
372500000X
Chore Provider
—
—
372600000X
Adult Companion
NA609610
TX
373H00000X
Day Training/Habilitation Specialist
NA609610
TX
3747A0650X
Attendant Care Provider
—
—
3747P1801X
Personal Care Attendant
—
—
374U00000X
Home Health Aide
NA609610
TX
376K00000X
Nurse's Aide
NA609610
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/03/2017
Last updated
01/02/2019
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