Individual provider · Type 1 NPI

Su-San Cannon Spain

In Home Supportive Care Agency · Fort Worth, TX

NPI number 1790397255 Active

Practice location

1712 Wurzburg Dr
Fort Worth, TX 76134-3320

Call (817) 476-1510 Map

Mailing address

PO Box 16741
Fort Worth, TX 76162-0741

Specialties and licenses

TaxonomyCodeLicense
In Home Supportive Care Agency Primary 253Z00000XNone listed

In Home Supportive Care Agency: 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 medicatio…

Other in home supportive care agency providers in Fort Worth

See all in Fort Worth →

About NPI 1790397255

Su-San Cannon Spain's National Provider Identifier is 1790397255, issued on Aug 17, 2020. The primary taxonomy on file is In Home Supportive Care Agency (253Z00000X), and the practice location is in Fort Worth, TX. The record was last updated on Aug 19, 2020.