Provider Demographics
NPI:1902507932
Name:FW HEALTHCARE SERVICES
Entity Type:Organization
Organization Name:FW HEALTHCARE SERVICES
Other - Org Name:FW HEALTHCARE SERVICES (FW HEALTH)
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:LEROY
Authorized Official - Middle Name:
Authorized Official - Last Name:FRANCIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:772-284-7371
Mailing Address - Street 1:5608 PRISCILLA LN
Mailing Address - Street 2:
Mailing Address - City:LAKE WORTH
Mailing Address - State:FL
Mailing Address - Zip Code:33463-6709
Mailing Address - Country:US
Mailing Address - Phone:772-284-7371
Mailing Address - Fax:
Practice Address - Street 1:5608 PRISCILLA LN
Practice Address - Street 2:
Practice Address - City:LAKE WORTH
Practice Address - State:FL
Practice Address - Zip Code:33463-6709
Practice Address - Country:US
Practice Address - Phone:772-284-7371
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-03-16
Last Update Date:2023-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care