Organization
FULFORD HOME HEALTH, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SYLVIA SANYU K. KELONYE MUSASIA (ADMINISTRATOR/DON)
(817) 542-0077
Entity
Organization
Contact information
Practice address
1506 W PIONEER PKWY STE 206, ARLINGTON, TX 76013-6200
(817) 542-0077
(817) 542-0099
Mailing address
1506 W PIONEER PKWY STE 206, ARLINGTON, TX 76013-6200
(817) 542-0077
(817) 542-0099
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
015073
TX
Other
Enumeration date
10/03/2011
Last updated
01/25/2018
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