# WEST WHARTON COUNTY HOSPITAL DISTRICT

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Mallard Creek Therapy and Living Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1265291447
- **Authorized official:** JOHNNY BOOTH THOMPSON (ADMINISTRATOR)
- **Authorized official phone:** (361) 576-9454

## Contact information

- **Practice address:** 6649 N RIVERSIDE DR, FORT WORTH, TX 76137-6640
- **Practice address phone:** (817) 847-1860
- **Practice address fax:** (866) 205-6470
- **Mailing address:** 6649 N RIVERSIDE DR, FORT WORTH, TX 76137-6640
- **Mailing address phone:** (817) 847-1860
- **Mailing address fax:** (866) 205-6470

## Taxonomy

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

## Other

- **Enumeration date:** 03/18/2024
- **Last updated:** 04/10/2026