Organization
BANC MANAGEMENT & SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ANTIONETTE FELICIA FOSTER M.A (OWNER)
(817) 492-5948
Entity
Organization
Contact information
Practice address
10300 TAMMARON TRL, FORT WORTH, TX 76140-6602
(817) 492-5948
(817) 423-9661
Mailing address
10300 TAMMARON TRL, FORT WORTH, TX 76140-6602
(817) 492-5948
(817) 423-9661
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
—
—
Other
Enumeration date
05/17/2015
Last updated
05/17/2015
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