| Bountiful Community Home Health L.l.c. | |
|
5601 Bridge St Ste 300 Fort Worth TX 76112-2355 | |
| (817) 586-4314 | |
| (817) 489-9174 |
| Full Name | Bountiful Community Home Health L.l.c. |
|---|---|
| Speciality | In Home Supportive Care |
| Location | 5601 Bridge St Ste 300, Fort Worth, Texas |
| Authorized Official Name and Position | Timiera Chantel Clark (OWNER/ADMINISTRATOR) |
| Authorized Official Contact | 8179028085 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bountiful Community Home Health L.l.c. 5601 Bridge Street 300 Fort Worth TX 76112-2355 Ph: (817) 586-4314 | Bountiful Community Home Health L.l.c. 5601 Bridge St Ste 300 Fort Worth TX 76112-2355 Ph: (817) 586-4314 |
| NPI Number | 1316471436 |
|---|---|
| Provider Enumeration Date | 04/14/2017 |
| Last Update Date | 08/22/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316471436 | NPI | - | NPPES |
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