Fort Worth III Enterprises, LLC
NPI #1679296735 in Fort Worth, Texas
Provider Information
- NPI Number
- 1679296735
- Entity Type
- Organization
- Organization Name
- Fort Worth III Enterprises, LLC
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- Sep 23, 2022
- Last Updated
- Sep 23, 2022
Practice Location
- Address
- 4825 WELLESLEY AVE
- City
- Fort Worth
- State
- Texas
- ZIP Code
- 76107-6148
- Phone
- (817) 732-6608
Authorized Official
- Name
- GARY BLAKE
- Title
- MANAGING MEMBER
- Phone
- (817) 348-8959
Specialties & Taxonomy Codes
| Specialty |
|---|
| Skilled Nursing Facility |
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