Individual provider · Type 1 NPI

Roselyn Small

Adult Care Home Facility · Fort Worth, TX

NPI number 1902504459 Active

Practice location

6850 Manhattan Blvd Ste 300-25
Fort Worth, TX 76120-1227

Mailing address

PO Box 24506
Fort Worth, TX 76124-1506

Specialties and licenses

TaxonomyCodeLicense
Home Health Agency 251E00000XNone listed
Contractor 171W00000XNone listed
In Home Supportive Care Agency 253Z00000XNone listed
Assisted Living Facility 310400000XNone listed
Homemaker 376J00000XNone listed
Adult Care Home Facility Primary 311ZA0620XNone listed

Adult Care Home Facility: A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.

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About NPI 1902504459

Roselyn Small's National Provider Identifier is 1902504459, issued on Feb 22, 2023. The primary taxonomy on file is Adult Care Home Facility (311ZA0620X), and the practice location is in Fort Worth, TX. The record was last updated on Feb 22, 2023.