Provider Demographics
NPI:1518703479
Name:FORCEFIELD
Entity type:Organization
Organization Name:FORCEFIELD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:AMINATA
Authorized Official - Middle Name:
Authorized Official - Last Name:JOOF
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:817-210-2280
Mailing Address - Street 1:6940 GLADE OAKS DR
Mailing Address - Street 2:
Mailing Address - City:FORT WORTH
Mailing Address - State:TX
Mailing Address - Zip Code:76120-1376
Mailing Address - Country:US
Mailing Address - Phone:817-210-2280
Mailing Address - Fax:
Practice Address - Street 1:2941 S PRECINCT LINE RD
Practice Address - Street 2:
Practice Address - City:FORT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76118-7607
Practice Address - Country:US
Practice Address - Phone:817-210-2280
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-07-01
Last Update Date:2024-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care