Organization
SMITH FAMILY CARE HOMES
Active
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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