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Organization
REGENCY HOSPITAL OF FORT WORTH, LLLP
Active
Organization
REGENCY HOSPITAL OF FORT WORTH, LLLP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL TARVIN (VICE PRESIDENT)
(717) 972-1100
Entity
Organization
Contact information
Practice address
6801 OAKMONT BOULEVARD, FORT WORTH, TX 76132
(770) 754-5232
(770) 776-5321
Mailing address
4714 GETTYSBURG RD, LEGAL DPT, MECHANICSBURG, PA 17055-4325
(717) 972-1100
(717) 975-9981
Taxonomy
Speciality
Code
Description
License number
State
282E00000X
Long Term Care Hospital
Primary
008392
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
191816101
—
TX
Enumeration date
05/04/2006
Last updated
08/31/2010
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