Organization
SMITH FAMILY CARE HOMES
Active
Other names
Personal Care Services
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TINA RENE SMITH (OWNER)
(817) 204-8462
Entity
Organization
Contact information
Practice address
1801 SAN RAFAEL ST, FORT WORTH, TX 76134-4841
(817) 204-8462
Mailing address
1801 SAN RAFAEL ST, FORT WORTH, TX 76134-4841
(817) 204-8462
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
—
—
3104A0625X
Assisted Living Facility (Mental Illness)
Primary
—
—
311ZA0620X
Adult Care Home Facility
—
—
Other
Enumeration date
06/19/2008
Last updated
07/31/2008
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