MS. ALEXIS ETIENNE INGLETON

Assisted Living, Behavioral Disturbances

Fort Worth, Texas

Provider NPI: 1447732896

Provider Information:
MS. ALEXIS ETIENNE INGLETON 


Practice Location:
15840 BADGER CREEK LM  FORT WORTH, TX 76177 US
Tel: 817-901-2505  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

Primary	Code	Category/Description	State	License Number
Y	3104A0630X	Nursing & Custodial Care Facilities Assisted Living Facility Assisted Living, Behavioral Disturbances

Other Provider Identifiers:

Issuer	Number	State	Type
HEALING HANDS ASSISTED LIVING	831181220	TX	01

Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin