Organization
VIETWELL CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TOMMY VAN KHONG (PRESIDENT)
(817) 937-7675
Entity
Organization
Contact information
Practice address
124 W PIONEER PKWY STE 130, ARLINGTON, TX 76010-6146
(817) 726-4242
(817) 288-0899
Mailing address
124 W PIONEER PKWY STE 130, ARLINGTON, TX 76010-6146
(817) 299-8888
(817) 288-0899
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251G00000X
Community Based Hospice Care Agency
015797
TX
253Z00000X
In Home Supportive Care Agency
015797
TX
3747P1801X
Personal Care Attendant
Primary
015797
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
015797
—
TX
Enumeration date
05/20/2013
Last updated
08/19/2024
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