Organization
FIVE STAR ADULT DAY CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARVA DENISE MITCHELL (OWNER)
(817) 296-0782
Entity
Organization
Contact information
Practice address
4401 FOARD ST, FORT WORTH, TX 76119-3305
(817) 296-0782
Mailing address
4401 FOARD ST, FORT WORTH, TX 76119-3305
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
—
—
Other
Enumeration date
04/16/2012
Last updated
04/16/2012
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