Organization
S SHELBY COMMUNITY DEVELOPMENT CORPORATION
Active
Other names
SHELBY & ASSOCIATES
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SHALITHA RENAE SHELBY (OWNER/ MANAGER)
(817) 729-1150
Entity
Organization
Contact information
Practice address
3829 E LOOP 820 S STE 210, FORT WORTH, TX 76119-4337
(817) 729-1150
Mailing address
PO BOX 19153, FORT WORTH, TX 76119-1153
(817) 729-1150
(817) 451-2020
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
343900000X
Non-emergency Medical Transport (VAN)
18616798
TX
347C00000X
Private Vehicle
18616798
TX
Other
Enumeration date
08/04/2009
Last updated
08/04/2009
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