Awal 2012 Opco, LLC

NPI #1417294661 in Ft Worth, Texas

Provider Information

NPI Number: 1417294661
Entity Type: Organization
Organization Name: Awal 2012 Opco, LLC
Primary Specialty: Assisted Living Facility
Enumeration Date: Jan 8, 2013
Last Updated: Mar 4, 2013

Practice Location

Address: 3801 HULEN ST
Address 2: SUITE 202
City: Ft Worth
State: Texas
ZIP Code: 76107-7202
Phone: (817) 386-8888

Authorized Official

Name: MR. WAYNE POWELL
Title: PRESIDENT
Phone: (817) 386-8888

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Assisted Living Facility	310400000X	Primary

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