Forth Worth Manor Inc

NPI 1891782298 - Nursing Facility/Intermediate Care Facility - 313M00000X

NPI Details
NPI 1891782298
Enumeration Date 09/30/2005
Last Updated 06/16/2008
Entity Type Healthcare Provider
Active Over 11 years ago
Authorized Information
Name JANICE JANICE
Position INSURANCE/MEDICARE
Phone (580) 622-6300
Fax (580) 622-8344
Practice Location
110 W MUSKOGEE AVE
SULPHUR OK, 73086-4810, US
Phone (580) 622-6300
Fax (580) 622-8344
Business Location
4900 E BERRY ST
FORT WORTH TX, 76105-4314, US
Phone (817) 531-3707
Fax (817) 536-1648
Toxanomy
Taxonomy Code 313M00000X
License State Texas
License Number 113559
Remove 1891782298 NPI Number
 

According to our database, Forth Worth Manor Inc NPI is 1891782298, taxonomy code is 313M00000X and license number is 113559, license state is located at Texas. Forth Worth Manor Inc physically located at 110 W Muskogee Ave, Sulphur OK, 73086-4810. NPI Number 1033115704 has the healthcare provider type.

Sponsored links

1891782298 NPI number is provided on an as is basis without warranty of any kind. 1891782298 is maintained by the National Plan & Provider Enumeration System. The contents of Forth Worth Manor Inc are for informational purposes only.