| Newlife Homes Llc | |
|
9212 Paluxy Dr Fort Worth TX 76244-4949 | |
| (818) 578-9062 | |
| Not Available |
| Full Name | Newlife Homes Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 9212 Paluxy Dr, Fort Worth, Texas |
| Authorized Official Name and Position | Susan Gakwavu (ONWER) |
| Authorized Official Contact | 8185789062 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Newlife Homes Llc 10227 Mason Ave Apt 116 Chatsworth CA 91311-3352 Ph: (818) 578-9062 | Newlife Homes Llc 9212 Paluxy Dr Fort Worth TX 76244-4949 Ph: (818) 578-9062 |
| NPI Number | 1548851991 |
|---|---|
| Provider Enumeration Date | 01/28/2021 |
| Last Update Date | 01/28/2021 |
| Certification Date | 01/28/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548851991 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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