Organization
DAISY SHAW COMPANION CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHAMEEKA S HENRY (ADMINISTRATOR)
(817) 879-9283
Entity
Organization
Contact information
Practice address
8347 CAMP BOWIE WEST BLVD, FT WORTH, TX 76116-6331
(817) 879-9283
Mailing address
PO BOX 121775, ARLINGTON, TX 76012-7775
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
—
—
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
06/17/2021
Last updated
06/16/2023
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