| Home Of Life Journey | |
|
4228 Hardeman St Ft Worth TX 76119-3870 | |
| (817) 769-0379 | |
| Not Available |
| Full Name | Home Of Life Journey |
|---|---|
| Speciality | Behavior Analyst |
| Location | 4228 Hardeman St, Ft Worth, Texas |
| Authorized Official Name and Position | Marian Denise Walters (OWNER/PROGRAM MANAGER) |
| Authorized Official Contact | 8177690379 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Home Of Life Journey 4228 Hardeman St Fort Worth TX 76119-3870 Ph: (817) 769-0379 | Home Of Life Journey 4228 Hardeman St Ft Worth TX 76119-3870 Ph: (817) 769-0379 |
| NPI Number | 1871852970 |
|---|---|
| Provider Enumeration Date | 05/09/2012 |
| Last Update Date | 05/09/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871852970 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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