Slp Fort Worth LLC
NPI #1023605730 in Fort Worth, Texas
Provider Information
- NPI Number
- 1023605730
- Entity Type
- Organization
- Organization Name
- Slp Fort Worth LLC
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- Dec 29, 2020
- Last Updated
- Dec 29, 2020
Practice Location
- Address
- 701 SAINT LOUIS AVE
- City
- Fort Worth
- State
- Texas
- ZIP Code
- 76104-3324
- Phone
- (817) 332-9962
Authorized Official
- Name
- CASSANDRA MISTRETTA
- Title
- CEO
- Phone
- (817) 410-7300
Specialties & Taxonomy Codes
| Specialty |
|---|
| Skilled Nursing Facility |
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