Mspf-Iv Grapevine Oe, LP

NPI #1992976351 in Grapevine, Texas

Provider Information

NPI Number
1992976351
Entity Type
Organization
Organization Name
Mspf-Iv Grapevine Oe, LP
Primary Specialty
Skilled Nursing Facility
Enumeration Date
Mar 13, 2008
Last Updated
Apr 7, 2008

Practice Location

Address
1005 IRA E WOODS AVE
State
Texas
ZIP Code
76051-4018
Phone
(817) 796-4621

Authorized Official

Name
MR. DAVID RONCK
Title
MANAGER
Phone
(214) 651-4050

Specialties & Taxonomy Codes

Specialty
Skilled Nursing Facility

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