Whalio Doctors

NPI 1205136801

Living Quality Moments INC.

Organisation Developmentally Disabled Services Day Training Agency Fort Worth, TX

Practice location

Address
320 Autumn Park, Fort Worth, TX 76140-6524
Phone
(817) 551-0559
Fax
(817) 551-0668
Mailing address
1019 W Enon Ave Suite a, Everman, TX 76140-3648

Authorised official

Name
Lisa Queenester Maroney
Title
Ceo/President/Program Director
Phone
(817) 565-5984

Registered specialties

Developmentally Disabled Services Day Training Agency Primary
Agencies Taxonomy 251C00000X

Registry record

NPI
1205136801
Entity type
Organization
NPI issued
28 Oct 2010
Record last updated
28 Oct 2010

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.