Cccfw, LLC
NPI #1356376321 in Fort Worth, Texas
Provider Information
- NPI Number
- 1356376321
- Entity Type
- Organization
- Organization Name
- Cccfw, LLC
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- Jul 11, 2006
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 900 W LEUDA ST
- City
- Fort Worth
- State
- Texas
- ZIP Code
- 76104-3002
- Phone
- (817) 332-7003
Authorized Official
- Name
- ROYCE FREEBOURN
- Title
- CEO
- Phone
- (940) 220-6440
Specialties & Taxonomy Codes
| Specialty |
|---|
| Skilled Nursing Facility |
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