Loyal Living Llc. | |
3504 Mt Vernon Ave Fort Worth TX 76103-2527 | |
(214) 900-8360 | |
Not Available |
Full Name | Loyal Living Llc. |
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Speciality | Clinic/center - Adult Mental Health |
Location | 3504 Mt Vernon Ave, Fort Worth, Texas |
Authorized Official Name and Position | Robert Shelton (PROGRAM MANAGER) |
Authorized Official Contact | 2149008360 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Loyal Living Llc. Po Box 181698 Arlington TX 76096-1698 Ph: (214) 900-8360 | Loyal Living Llc. 3504 Mt Vernon Ave Fort Worth TX 76103-2527 Ph: (214) 900-8360 |
NPI Number | 1144956673 |
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Provider Enumeration Date | 07/27/2022 |
Last Update Date | 07/27/2022 |
Certification Date | 07/27/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1144956673 | NPI | - | NPPES |
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