NPI 1932330255
S Shelby Community Development Corporation
Practice location
- Address
- 3829 E Loop 820 S STE 210, Fort Worth, TX 76119-4337
- Phone
- (817) 729-1150
- Mailing address
- PO Box 19153, Fort Worth, TX 76119-1153
Authorised official
- Name
- Shalitha Renae Shelby
- Title
- Owner/ Manager
- Phone
- (817) 729-1150
Registered specialties (3)
Substance Abuse Rehabilitation Facility
Primary
Non-emergency Medical Transport (VAN)
Private Vehicle
Registry record
- NPI
- 1932330255
- Entity type
- Organization
- NPI issued
- 4 Aug 2009
- Record last updated
- 4 Aug 2009
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.