Ft. Worth Southwest Nursing Center, Llc

NPI 1134117666 - Skilled Nursing Facility - 314000000X

NPI Details
NPI 1134117666
Enumeration Date 10/10/2005
Last Updated 09/13/2012
Entity Type Healthcare Provider
Active Over 11 years ago
Authorized Information
Name DICK DICK
Position MEMBER/MANAGER
Phone (817) 346-1800
Fax (817) 346-0149
Practice Location
5300 ALTA MESA BLVD
FORT WORTH TX, 76133-5924, US
Phone (817) 346-1800
Fax (817) 346-0149
Business Location
600 E WHALEY ST
LONGVIEW TX, 75601-6525, US
Phone (903) 757-5360
Fax (903) 753-8621
Toxanomy
Taxonomy Code 314000000X
License State Texas
License Number 100222
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According to our database, Ft. Worth Southwest Nursing Center, Llc NPI is 1134117666, taxonomy code is 314000000X and license number is 100222, license state is located at Texas. Ft. Worth Southwest Nursing Center, Llc physically located at 5300 Alta Mesa Blvd, Fort Worth TX, 76133-5924. NPI Number 1033115704 has the healthcare provider type.

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1134117666 NPI number is provided on an as is basis without warranty of any kind. 1134117666 is maintained by the National Plan & Provider Enumeration System. The contents of Ft. Worth Southwest Nursing Center, Llc are for informational purposes only.