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Su-san Cannon Spain
In Home Supportive Care Agency in Fort Worth, Texas
NPI 1790397255

Su-san Cannon Spain is a In Home Supportive Care Agency based in Fort Worth, TX. Su-san Cannon Spain practices in Fort Worth, TX. The NPI Number for Su-san Cannon Spain is 1790397255 and holds a License No. (Texas).

The current practice location address for Su-san Cannon Spain is 1712 Wurzburg Dr, Fort Worth, TX and can be reached out via phone at 817-476-1510.

Location: 1712 Wurzburg Dr, Fort Worth, TX, 76162-0741
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1790397255
Provider Name
Su-san Cannon Spain
Credential
Provider Entity Type
Individual
Gender
Female
Address
1712 Wurzburg Dr, Fort Worth, TX, 76162-0741
Phone Number
817-476-1510
Fax Number
Provider Enumeration Date
08/17/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1712 Wurzburg Dr
City
Fort Worth
State
Texas
Zip
76134-3320
Phone Number
817-476-1510
Fax Number
person
Provider Business Mailing Address Details
Address
1712 Wurzburg Dr
City
Fort Worth
State
Texas
Zip
76134-3320
Phone Number
817-476-1510
Fax Number
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
In Home Supportive Care
Speciality
-
Taxonomy
253Z00000X
License No.
(Texas)
Definition
An In Home Supportive Care Agency provides services in the patient's home with the goal of enabling the patient to remain at home. The services provided may include personal care services such as hands-on assistance with activities of daily living (ADLs), e.g., eating, bathing, dressing, and bladder and bowel requirements; homemaker services and instrumental activities of daily living (IADLs), e.g., taking medications, shopping for groceries, laundry, housekeeping, and companionship; and/or supervision or cuing so that a person can perform tasks themselves.
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