Provider Demographics
NPI:1598053282
Name:MABEL'S UNIQUE CARE
Entity Type:Organization
Organization Name:MABEL'S UNIQUE CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:NORLETTE
Authorized Official - Middle Name:
Authorized Official - Last Name:LINDSEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:817-479-9800
Mailing Address - Street 1:6833 DAN DANCIGER RD
Mailing Address - Street 2:
Mailing Address - City:FORT WORTH
Mailing Address - State:TX
Mailing Address - Zip Code:76133-4903
Mailing Address - Country:US
Mailing Address - Phone:817-479-9800
Mailing Address - Fax:817-479-9806
Practice Address - Street 1:6833 DAN DANCIGER RD
Practice Address - Street 2:
Practice Address - City:FORT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76133-4903
Practice Address - Country:US
Practice Address - Phone:817-479-9800
Practice Address - Fax:817-479-9806
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-07-14
Last Update Date:2011-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX132231251C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services