Organization
EXTENSION OF LOVE SENIOR LIVING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KARON KISSENTANER (PRESIDENT)
(682) 597-0159
Entity
Organization
Contact information
Practice address
914 IRMA ST, FORT WORTH, TX 76104-5209
(682) 597-0159
(480) 907-0510
Mailing address
914 IRMA ST, FORT WORTH, TX 76104-5209
(682) 597-0159
(480) 907-0510
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
02/12/2026
Last updated
02/12/2026
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