FABOS COMMUNITY INTERSECTION LLC NPI 1396921656

NPI Information

FABOS COMMUNITY INTERSECTION, LLC is a community based residential treatment facility, intellectual and/or developmental disabilities in Fort Worth, TX. The provider is a home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. FABOS COMMUNITY INTERSECTION, LLC NPI is 1396921656. The provider is registered as an organization entity type.

The provider's business location address is:

924 MARION AVE
FORT WORTH, TX
ZIP 76104-537
Phone: (817) 987-7634

The provider's authorized official is Eunice Funke Akingbade .
The authorized official title is Managing and has the following contact phone number (817) 987-7634.

The enumeration date for this NPI number is 1/17/2008 and was last updated on 1/17/2008.

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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