TRUE VINE CONNECTION LLC NPI 1164078028

NPI Information

TRUE VINE CONNECTION, LLC is a respite care and mental retardation and/or developmental disabilities respite care in Fort Worth, TX. The provider is a facility or distinct part of a facility that provides short term, residential care to children, diagnosed with intellectual and/or developmental disabilities as respite for the regular caregivers. TRUE VINE CONNECTION, LLC NPI is 1164078028. The provider is registered as an organization entity type.

The provider's business location address is:

4914 INVERNESS AVE
FORT WORTH, TX
ZIP 76132-608
Phone: (682) 203-1239

The provider's authorized official is Marcus Dunn .
The authorized official title is President and has the following contact phone number (682) 203-1239.

The enumeration date for this NPI number is 8/15/2019 and was last updated on 8/15/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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