Organization
MTM VITALCARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KAFAYAT 0 ADELEKAN (MANAGER/ADMINSTRATOR)
(682) 248-4056
Entity
Organization
Contact information
Practice address
12124 MACAROON LN, FORT WORTH, TX 76244-7531
(682) 248-4056
Mailing address
12124 MACAROON LN, FORT WORTH, TX 76244-7531
(682) 248-4056
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
07/18/2025
Last updated
07/18/2025
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