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Lonnie Woods
Adult Care Home Facility in Fort Worth, Texas
NPI 1619305612

Lonnie Woods is an Adult Care Home Facility based in Cedar Hill, TX and is specialized in Adult Care Home. Lonnie Woods practices in Fort Worth, TX. The NPI Number for Lonnie Woods is 1619305612 and holds a License No. 75-2515490 (Texas).

The current practice location address for Lonnie Woods is 5025 E Berry St, Fort Worth, TX and can be reached out via phone at 217-277-9516 and via fax at 214-277-9516.

Location: 5025 E Berry St, Fort Worth, TX, 75104-1238
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1619305612
Provider Name
Lonnie Woods
Credential
Provider Entity Type
Individual
Gender
Male
Address
5025 E Berry St, Fort Worth, TX, 75104-1238
Phone Number
217-277-9516
Fax Number
214-277-9516
Provider Enumeration Date
10/29/2013
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
5025 E Berry St
City
Fort Worth
State
Texas
Zip
76119-2239
Phone Number
217-277-9516
Fax Number
214-277-9516
person
Provider Business Mailing Address Details
Address
5025 E Berry St
City
Fort Worth
State
Texas
Zip
76119-2239
Phone Number
217-277-9516
Fax Number
214-277-9516
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Custodial Care Facility
Speciality
Adult Care Home
Taxonomy
311ZA0620X
License No.
75-2515490 (Texas)
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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