Organization · Type 2 NPI

Ezra's Homestead

Intellectual Disabilities Intermediate Care Facility · Fort Worth, TX

NPI number 1669214490 Active

Practice location

5828 Arborlawn Dr Apt 1401
Fort Worth, TX 76109-3258

Call (817) 733-1790 Map

Mailing address

5900 Balcones Dr # 17760
Austin, TX 78731-4257

Specialties and licenses

TaxonomyCodeLicense
In Home Supportive Care Agency 253Z00000XNone listed
Assisted Living Facility 310400000XNone listed
Intellectual Disabilities Intermediate Care Facility Primary 315P00000XNone listed
Non-emergency Medical Transport (VAN) 343900000XNone listed
Private Vehicle 347C00000XNone listed

Intellectual Disabilities Intermediate Care Facility: An intermediate care facility providing services for individuals with intellectual disabilities.

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About NPI 1669214490

Ezra's Homestead's National Provider Identifier is 1669214490, issued on Jun 11, 2024. The primary taxonomy on file is Intellectual Disabilities Intermediate Care Facility (315P00000X), and the practice location is in Fort Worth, TX. The record was last updated on Jun 11, 2024.