Individual
MS. ALEXIS ETIENNE INGLETON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
15840 BADGER CREEK LM, FORT WORTH, TX 76177
(817) 901-2505
Mailing address
15840 BADGER CREEK LM, FORT WORTH, TX 76177
(817) 901-2505
Taxonomy
Speciality
Code
Description
License number
State
3104A0630X
Assisted Living Facility (Behavioral Disturbances)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
831181220
HEALING HANDS ASSISTED LIVING
TX
Enumeration date
09/02/2018
Last updated
09/02/2018
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