Organization
FAMILY FIRST ASSISTANCE LIVING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALICE MAUDELL JONES (OWNER)
(682) 301-0158
Entity
Organization
Contact information
Practice address
1041 E POWELL ST, FORT WORTH, TX 76104
(682) 301-0158
Mailing address
1041 E POWELL ST, FORT WORTH, TX 76104
(682) 301-0158
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
172V00000X
TX
Other
Enumeration date
06/23/2014
Last updated
06/23/2014
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