Organization
UNIVERSAL STAFFING, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KATHY DIANE WALLS RN (OWNER)
(817) 451-1404
Entity
Organization
Contact information
Practice address
1208 COUNTRY CLUB LN, FORT WORTH, TX 76112-2353
(817) 451-1404
(817) 451-5029
Mailing address
1208 COUNTRY CLUB LANE, FORT WORTH, TX 76112-2353
(817) 451-1404
(817) 451-5029
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
006848
TEXAS DEPARTMENT OF AGING AND DISABILITY
TX
Enumeration date
08/16/2011
Last updated
08/16/2011
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