| All Church Home For Children | |
|
3712 Wichita St Fort Worth TX 76119-2866 | |
| (817) 335-4041 | |
| (217) 887-2735 |
| Full Name | All Church Home For Children |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 3712 Wichita St, Fort Worth, Texas |
| Authorized Official Name and Position | Susan Zaletel (DIRECTOR OF ACCOUNTING) |
| Authorized Official Contact | 8178867109 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| All Church Home For Children 3712 Wichita St Fort Worth TX 76119-2866 Ph: (817) 335-4041 | All Church Home For Children 3712 Wichita St Fort Worth TX 76119-2866 Ph: (817) 335-4041 |
| NPI Number | 1013042746 |
|---|---|
| Provider Enumeration Date | 02/22/2007 |
| Last Update Date | 08/12/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013042746 | NPI | - | NPPES |
| 1459711-01 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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