NPI 1205136801
Living Quality Moments INC.
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
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.