Charleston Dfw Operations LLC
NPI #1851729560 in Fort Worth, Texas
Provider Information
- NPI Number
- 1851729560
- Entity Type
- Organization
- Organization Name
- Charleston Dfw Operations LLC
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- Oct 16, 2013
- Last Updated
- Dec 11, 2013
Practice Location
- Address
- 900 W LEUDA ST
- City
- Fort Worth
- State
- Texas
- ZIP Code
- 76104-3002
- Phone
- (337) 439-6600
Authorized Official
- Name
- KENDALL A BROUSSARD
- Title
- MANAGING MEMBER
- Phone
- (337) 439-6600
Specialties & Taxonomy Codes
| Specialty |
|---|
| Skilled Nursing Facility |
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