Manor Care of Fort Worth Tx (nw) LLC

NPI #1912940701 in Fort Worth, Texas

Provider Information

NPI Number
1912940701
Entity Type
Organization
Organization Name
Manor Care of Fort Worth Tx (nw) LLC
Primary Specialty
Skilled Nursing Facility
Enumeration Date
Jun 13, 2006
Last Updated
May 30, 2017

Practice Location

Address
2129 SKYLINE DR
State
Texas
ZIP Code
76114-1924
Phone
(817) 626-1956

Authorized Official

Name
MR. MARTIN D ALLEN
Title
DIRECTOR
Phone
(419) 252-5734

Specialties & Taxonomy Codes

Specialty
Skilled Nursing Facility

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