Individual
DESTINYE WILLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7005 YORKSTON ST, WATAUGA, TX 76148-1975
(817) 687-1006
(301) 936-1546
Mailing address
PO BOX 48231, FT WORTH, TX 76148-0231
(817) 687-1006
(936) 301-1546
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
024426
TX
251F00000X
Home Infusion Agency
Primary
024426
TX
253Z00000X
In Home Supportive Care Agency
024426
TX
3747P1801X
Personal Care Attendant
024426
TX
385H00000X
Respite Care
024426
TX
Other
Enumeration date
11/13/2025
Last updated
11/13/2025
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