Provider Demographics
NPI:1285045799
Name:DWB PARTNER, LLC
Entity Type:Organization
Organization Name:DWB PARTNER, LLC
Other - Org Name:VISITING ANGELS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DALE
Authorized Official - Middle Name:WILLS
Authorized Official - Last Name:BROCK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:817-877-1616
Mailing Address - Street 1:PO BOX 672
Mailing Address - Street 2:
Mailing Address - City:FORT WORTH
Mailing Address - State:TX
Mailing Address - Zip Code:76101-0672
Mailing Address - Country:US
Mailing Address - Phone:817-877-1616
Mailing Address - Fax:817-334-7994
Practice Address - Street 1:1020 SUMMIT AVE
Practice Address - Street 2:
Practice Address - City:FORT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76102-3422
Practice Address - Country:US
Practice Address - Phone:817-877-1616
Practice Address - Fax:817-334-7994
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-05-19
Last Update Date:2014-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care