# WEST WHARTON COUNTY HOSPITAL DISTRICT

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Granbury Care Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1205894185
- **Authorized official:** MR. DAVID MAK (CHIEF FINANCIAL OFFICER)
- **Authorized official phone:** (979) 578-5250

## Contact information

- **Practice address:** 301 SOUTH PARK STREET, GRANBURY, TX 76048-1800
- **Practice address phone:** (817) 573-3726
- **Practice address fax:** (817) 573-9077
- **Mailing address:** 4150 INTERNATIONAL PLAZA, SUITE 600, FORT WORTH, TX 76109-4831
- **Mailing address phone:** (817) 348-8959
- **Mailing address fax:** (817) 348-0466

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 113168 | TX | Yes |

## Other

- **Enumeration date:** 05/02/2006
- **Last updated:** 02/25/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 001001761 | — | TX |
| 05 | — | 021600401 | — | TX |