# PERFORMANCE CARE CENTERS LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Mira Vista Court
- **Organization subpart:** No

## Provider details

- **NPI number:** 1245662675
- **Authorized official:** LEZLIE MICHAEL (PRESIDENT)
- **Authorized official phone:** (817) 361-1400

## Contact information

- **Practice address:** 7021 BRYANT IRVIN ROAD, FORT WORTH, TX 76132
- **Practice address phone:** (817) 535-3447
- **Mailing address:** 7021 BRYANT IRVIN ROAD, FORT WORTH, TX 76132-3834
- **Mailing address phone:** (817) 361-1400

## Taxonomy

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

## Other

- **Enumeration date:** 08/08/2013
- **Last updated:** 02/07/2014

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 001025484 | — | TX |