NPI 1447732896

Alexis Etienne Ingleton

Practitioner Assisted Living Facility (Behavioral Disturbances) Fort Worth, TX

Practice location

Address: 15840 Badger Creek Lm, Fort Worth, TX 76177
Phone: (817) 901-2505

Registered specialties

Assisted Living Facility (Behavioral Disturbances) Primary

Nursing & Custodial Care Facilities Taxonomy 3104A0630X

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Registry record

NPI: 1447732896
Entity type: Individual
Sex (as registered): Female
NPI issued: 2 Sep 2018
Record last updated: 2 Sep 2018

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.