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Organization

LADY BUTTERFLY IN HOME SENIOR CARE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. VANESSA D LEWIS (OWNER)
(817) 504-2702
Entity
Organization

Contact information

Practice address
712 SANDY TRL, FORT WORTH, TX 76120-2460
(817) 504-2702
(817) 492-9937
Mailing address
712 SANDY TRL, FORT WORTH, TX 76120-2460
(817) 504-2702
(817) 492-9937

Taxonomy

Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
311ZA0620X
Adult Care Home Facility

Other

Enumeration date
06/01/2013
Last updated
06/01/2013
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