# CHRISTIAN CARE CENTERS, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Lakewood Village Health Care Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1184615312
- **Authorized official:** MRS. APRIL MACLIN LNFA (ADMINISTRATOR)
- **Authorized official phone:** (817) 429-4198

## Contact information

- **Practice address:** 5100 RANDOL MILL RD, FORT WORTH, TX 76112-1553
- **Practice address phone:** (817) 429-4198
- **Practice address fax:** (866) 529-7014
- **Mailing address:** 5100 RANDOL MILL RD, FORT WORTH, TX 76112-1553
- **Mailing address phone:** (817) 429-4198
- **Mailing address fax:** (866) 529-7014

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 000174 | TX | Yes |

## Other

- **Enumeration date:** 11/05/2005
- **Last updated:** 08/22/2020