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
| Taxonomy | Code | License |
|---|---|---|
| Home Health Agency | 251E00000X | None listed |
| Contractor | 171W00000X | None listed |
| In Home Supportive Care Agency | 253Z00000X | None listed |
| Assisted Living Facility | 310400000X | None listed |
| Homemaker | 376J00000X | None listed |
| Adult Care Home Facility Primary | 311ZA0620X | None 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.