Martha Lane Icfmr
LBN: My Health My Resources Of Tarrant County
Martha Lane Icfmr is an health care organization with primary practice located at 7224 Martha Ln , Fort Worth TX 76112-5347. The organization recently has only one registered license in Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities, which is considered as the primary health care specialty.
My Health My Resources Of Tarrant County can be contacted via phone (817) 569-4396, or through Montes, Yolanda via phone (817) 569-5235.
Contact Information
Primary practice address
7224 Martha Ln
Fort Worth TX 76112-5347
Phone: (817) 569-4396
Fax: (817) 569-4517
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 320900000X |
Profile Details
| NPI number | 1639383037 |
|---|---|
| LBN Legal business name | My Health My Resources Of Tarrant County |
| DBA Doing business as | Martha Lane Icfmr |
| Authorized official | Montes, Yolanda |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | May 9th, 2007 |
| Last updated | Sep 1st, 2017 - about 7 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1639383037 | NPPES |
| Texas | MEDICAID | 000762001 |
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