Organization
AMPLECARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEEPA PRAJAPATI (ADMINISTRATOR)
(817) 668-6164
Entity
Organization
Contact information
Practice address
2561 GOODRICH RD, FORT WORTH, TX 76179-1094
(949) 395-0070
Mailing address
2561 GOODRICH RD, FORT WORTH, TX 76179-1094
(949) 395-0070
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
08/18/2023
Last updated
12/27/2023
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