Organization Name: | CARE ON THE GO |
NPI Number: | 1730599556 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | AMEISHA JASHON SCOTT (NURSE PRACTITIONER) |
Mailing Address: | 4300 Pecos St Fort Worth |
State: | TX US |
Postal Code: | 761195162 |
Phone Number: | 8177068415 |
Fax Number: | |
NPI Enumeration Date: | 05/01/2014 |
NPI Last Update Date: | 05/01/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 253Z00000X |
License Number: | 704199 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Agencies |
Taxonomy Classification: | In Home Supportive Care |
Taxonomy Specialization: | |
Taxonomy Definition: | An In Home Supportive Care Agency provides services in the patient |