# SLP FORT WORTH LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Wellington Oaks Nursing & Rehabilitation
- **Organization subpart:** No

## Provider details

- **NPI number:** 1023605730
- **Authorized official:** CASSANDRA MISTRETTA (CEO)
- **Authorized official phone:** (817) 410-7300

## Contact information

- **Practice address:** 701 SAINT LOUIS AVE, FORT WORTH, TX 76104-3324
- **Practice address phone:** (817) 332-9962
- **Practice address fax:** (817) 332-9252
- **Mailing address:** 701 SAINT LOUIS AVE, FORT WORTH, TX 76104-3324
- **Mailing address phone:** (817) 332-9962
- **Mailing address fax:** (817) 332-9252

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | — | — | Yes |

## Other

- **Enumeration date:** 12/29/2020
- **Last updated:** 12/29/2020