Organization
JUSSAFE ADULT FOSTER CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KRISTINA M ROBERTS-WYNN (OWNER)
(214) 680-4815
Entity
Organization
Contact information
Practice address
8945 PREAKNESS CIR, FORT WORTH, TX 76123-3582
(214) 680-4815
Mailing address
8945 PREAKNESS CIR, FORT WORTH, TX 76123-3582
(214) 680-4815
Taxonomy
Speciality
Code
Description
License number
State
305S00000X
Point of Service
Primary
—
—
Other
Enumeration date
04/16/2010
Last updated
04/16/2010
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