Organization
PURPOSE OF LIFE HOMECARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEONDRALIQUE GREENE (ADMINSTRATOR)
(817) 404-6150
Entity
Organization
Contact information
Practice address
6809 MCCART AVE STE 105, FORT WORTH, TX 76133-6302
(800) 375-1066
Mailing address
PO BOX 330331, FORT WORTH, TX 76163-0331
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
385H00000X
Respite Care
—
—
Other
Enumeration date
02/05/2026
Last updated
05/06/2026
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