Organization
SOUTHSIDE ADULT DAYCARE CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. VERONICA ALANIZ LVN (OWNER)
(817) 740-1611
Entity
Organization
Contact information
Practice address
1700 SOUTH FWY, FORT WORTH, TX 76104-5078
(817) 740-1611
(817) 740-1667
Mailing address
1401 CLINTON AVE, FORT WORTH, TX 76164-9143
(817) 740-1611
(817) 740-1667
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
—
—
Other
Enumeration date
09/01/2010
Last updated
08/10/2011
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