Organization · Type 2 NPI

Southside Adult Daycare Center, Inc.

Adult Day Care Clinic/Center · Fort Worth, TX

NPI number 1861709594 Active

Practice location

1700 South Fwy
Fort Worth, TX 76104-5078

Call (817) 740-1611 Map

Fax (817) 740-1667

Mailing address

1401 Clinton Ave
Fort Worth, TX 76164-9143

Specialties and licenses

TaxonomyCodeLicense
Adult Day Care Clinic/Center Primary 261QA0600XNone listed

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About NPI 1861709594

Southside Adult Daycare Center, Inc.'s National Provider Identifier is 1861709594, issued on Sep 1, 2010. The primary taxonomy on file is Adult Day Care Clinic/Center (261QA0600X), and the practice location is in Fort Worth, TX. The record was last updated on Aug 10, 2011.