Provider Demographics
NPI:1821734096
Name:SALLY'S CARE INC.
Entity Type:Organization
Organization Name:SALLY'S CARE INC.
Other - Org Name:SALLY'S CARE INC.
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:CARY
Authorized Official - Middle Name:
Authorized Official - Last Name:LINZY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:817-349-9097
Mailing Address - Street 1:PO BOX 35131
Mailing Address - Street 2:
Mailing Address - City:FORT WORTH
Mailing Address - State:TX
Mailing Address - Zip Code:76162-5131
Mailing Address - Country:US
Mailing Address - Phone:817-349-9097
Mailing Address - Fax:
Practice Address - Street 1:7901 OCEAN DR
Practice Address - Street 2:
Practice Address - City:FORT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76123-1815
Practice Address - Country:US
Practice Address - Phone:817-559-4841
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-05-10
Last Update Date:2022-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes253Z00000XAgenciesIn Home Supportive CareGroup - Single Specialty
No3747P1801XNursing Service Related ProvidersTechnicianPersonal Care AttendantGroup - Single Specialty