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Individual

ORNETTA WHITE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
5013 WHISPER DR, FORT WORTH, TX 76123-2968
(682) 380-9814
Mailing address
5013 WHISPER DR, FORT WORTH, TX 76123-2968
(682) 380-9814

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
171W00000X
Contractor
172V00000X
Community Health Worker
175T00000X
Peer Specialist
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
253Z00000X
In Home Supportive Care Agency
332U00000X
Home Delivered Meals
347C00000X
Private Vehicle
372500000X
Chore Provider
373H00000X
Day Training/Habilitation Specialist

Other

Enumeration date
04/22/2024
Last updated
04/22/2024
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