# CARE KING LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1023317187
- **Authorized official:** MR. JERRY GREEN (ADMINISTRATOR)
- **Authorized official phone:** (817) 510-7741

## Contact information

- **Practice address:** 1129 FAIRWEATHER DR, FORT WORTH, TX 76120-3325
- **Practice address phone:** (817) 510-7741
- **Mailing address:** 1129 FAIRWEATHER DR, FORT WORTH, TX 76120-3325
- **Mailing address phone:** (817) 510-7741

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 320600000X | Intellectual and/or Developmental Disabilities Residential Treatment Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 03/15/2011
- **Last updated:** 08/21/2013