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Mrs. Alicia Segura
Adult Care Home Facility in Fort Worth, Texas
NPI 1285762468

Alicia Segura is an Adult Care Home Facility based in Fort Worth, TX and is specialized in Adult Care Home. Alicia Segura practices in Fort Worth, TX. The NPI Number for Alicia Segura is 1285762468 and holds a License No. (Texas).

The current practice location address for Alicia Segura is 3717 Kimbo Rd, Fort Worth, TX and can be reached out via phone at 817-838-9829 and via fax at 817-383-9829. You can also correspond with Alicia Segura through the mailing address at 3717 KIMBO RD, FORT WORTH, TX - 76111-6208 (mailing address contact number: 817-838-9829).

Location: 3717 Kimbo Rd, Fort Worth, TX, 76111-6208
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1285762468
Provider Name
Alicia Segura
Credential
Provider Entity Type
Individual
Gender
Female
Address
3717 Kimbo Rd, Fort Worth, TX, 76111-6208
Phone Number
817-838-9829
Fax Number
817-383-9829
Provider Enumeration Date
03/01/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
000999997 01 TX TX DEPT OF AGING & DISABI
001015605 01 TX TX DEPARTMENT OF AGING AND DISABILITY
institution
Provider Business Practice Location Address Details
Address
3717 Kimbo Rd
City
Fort Worth
State
Texas
Zip
76111-6208
Phone Number
817-838-9829
Fax Number
817-383-9829
person
Provider Business Mailing Address Details
Address
3717 Kimbo Rd
City
Fort Worth
State
Texas
Zip
76111-6208
Phone Number
817-838-9829
Fax Number
817-383-9829
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Custodial Care Facility
Speciality
Adult Care Home
Taxonomy
311ZA0620X
License No.
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Definition
A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.
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