Organization
ST. JOHN'S RESIDENTIAL CARE HOME INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUDITH TAN-PASCUAL RN, BSN (OWNER, CEO, PRESIDENT)
(817) 680-5171
Entity
Organization
Contact information
Practice address
4448 MALLOW OAK DR, FORT WORTH, TX 76123-2734
(817) 361-0559
(817) 361-9244
Mailing address
4448 MALLOW OAK DR, FORT WORTH, TX 76123-2734
(817) 361-0559
(817) 361-9244
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
07/19/2024
Last updated
07/19/2024
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