Fireside Lodge Retirement Center INC

NPI #1962423871 in Ft Worth, Texas

Provider Information

NPI Number
1962423871
Entity Type
Organization
Organization Name
Fireside Lodge Retirement Center INC
Primary Specialty
Skilled Nursing Facility
Enumeration Date
Jul 23, 2006
Last Updated
Aug 22, 2020

Practice Location

Address
4800 WHITE SETTLEMENT RD
State
Texas
ZIP Code
76114-3955
Phone
(817) 738-6556

Authorized Official

Name
MR. TERRY MCGRATH JR.
Title
OWNER
Phone
(817) 738-6556

Specialties & Taxonomy Codes

Specialty
Skilled Nursing Facility

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