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Organization

ADVANCED LOVING HOME CARE LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SHARON PENTIKIS (CEO)
(817) 343-9585
Entity
Organization

Contact information

Practice address
600 W 6TH ST FL 4, 400-BK, FORT WORTH, TX 76102-3684
(817) 343-9585
Mailing address
724 PLAZA DR, FORT WORTH, TX 76140-5410

Taxonomy

Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
3747P1801X
Personal Care Attendant
385H00000X
Respite Care

Other

Enumeration date
09/26/2024
Last updated
12/06/2024
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