Wedgewood Snf LLC
NPI #1174857676 in Fort Worth, Texas
Provider Information
- NPI Number
- 1174857676
- Entity Type
- Organization
- Organization Name
- Wedgewood Snf LLC
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- Sep 30, 2009
- Last Updated
- Oct 21, 2009
Practice Location
- Address
- 6621 DAN DANCIGER RD
- City
- Fort Worth
- State
- Texas
- ZIP Code
- 76133-4905
- Phone
- (817) 292-6330
Authorized Official
- Name
- ZEVI KOHN
- Title
- CFO
- Phone
- (718) 412-3522
Specialties & Taxonomy Codes
| Specialty |
|---|
| Durable Medical Equipment & Medical Supplies - Nursing Facility Supplies — Nursing Facility Supplies |
| Skilled Nursing Facility |
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