Individual provider · Type 1 NPI

Douglas Neil Detten

Adult Companion · Fort Worth, TX

NPI number 1164923009 Active

Practice location

8101 Boat Club Rd Ste 318
Fort Worth, TX 76179-3633

Call (806) 344-0056 Map

Mailing address

9856 La Frontera Dr
Fort Worth, TX 76179-1871

Specialties and licenses

TaxonomyCodeLicense
Adult Companion Primary 372600000XNone listed

Adult Companion: An individual who provides supervision, socialization, and non-medical care to a functionally impaired adult. Companions may assist or supervise the individual with such tasks as meal preparation, laundry and shopping, but do not perform these activities as discrete services. These services are provided in accordance with a therapeutic goal in the plan of care.

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About NPI 1164923009

Douglas Neil Detten's National Provider Identifier is 1164923009, issued on Feb 26, 2018. The primary taxonomy on file is Adult Companion (372600000X), and the practice location is in Fort Worth, TX. The record was last updated on Feb 26, 2018.