Southwest Fort Worth Memory Care, LLC

NPI #1316210552 in Ft Worth, Texas

Provider Information

NPI Number: 1316210552
Entity Type: Organization
Organization Name: Southwest Fort Worth Memory Care, LLC
Primary Specialty: Assisted Living Facility
Enumeration Date: Feb 20, 2012
Last Updated: Feb 20, 2012

Practice Location

Address: 7100 DUTCH BRANCH RD
City: Ft Worth
State: Texas
ZIP Code: 76132-6111
Phone: (817) 769-3800

Authorized Official

Name: MR. CHAD ANDERSON
Title: PRESIDENT
Phone: (214) 845-4500

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Assisted Living Facility	310400000X	Primary

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