JBK HOUSE OF CARE LLC NPI 1518573609

NPI Information

JBK HOUSE OF CARE 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. JBK HOUSE OF CARE LLC NPI is 1518573609. The provider is registered as an organization entity type.

The provider's business location address is:

2624 GRAND GULF RD
FORT WORTH, TX
ZIP 76123-613
Phone: (817) 323-3591

The provider's authorized official is Esther Carine Kalombo .
The authorized official title is Program Manager and has the following contact phone number (817) 323-3591.

The enumeration date for this NPI number is 9/23/2020 and was last updated on 9/23/2020.

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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