Organization
FIDELITY ENTRUST HEALTHCARE SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EBONI M LYLES RN (OWNER)
(817) 487-7378
Entity
Organization
Contact information
Practice address
4723 SMOKEY QUARTZ LN, ARLINGTON, TX 76005-1346
(817) 487-7378
(817) 977-8889
Mailing address
4723 SMOKEY QUARTZ LN, ARLINGTON, TX 76005-1346
(817) 487-7378
(817) 977-8889
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
251G00000X
Community Based Hospice Care Agency
Primary
—
—
253Z00000X
In Home Supportive Care Agency
—
—
3747A0650X
Attendant Care Provider
—
—
Other
Enumeration date
03/11/2021
Last updated
02/17/2022
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