PCI ADULT DAYCARE, LLC
Ambulatory Health at Harris Pkwy, Fort Worth, TX

License number
Texas 138023
Category
Ambulatory Health
Type
Adult Day Care
Owner
Name: MR. HOWARD DON PETERSEN CPA
Title: CFO
Phone: (817) 637-9100
Address
Address
6050 Harris Pkwy, Fort Worth, TX 76132
National Provider ID: 1730593476
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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PCI ADULT DAYCARE, LLC

6050 Harris Pkwy, Fort Worth, TX 76132

Registration:
May 27, 2008
State ID:
0800983671
DIRECTOR:
Maureen Petersen (DIRECTOR), 6050 Harris Pkwy, Fort Worth, TX 76132
Agent:
Gerry Orth,2501 Parkview Dr, Fort Worth, TX 76102 (Physical)
TIN:
32037154740

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