# FORT WORTH HEALTH REJUVENATION

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1275961328
- **Authorized official:** NAOMI LEWIS (CO OWNER/CNA)
- **Authorized official phone:** (609) 349-0015

## Contact information

- **Practice address:** 3253 DESERT STORM RD, FORT WORTH, TX 76127-1029
- **Practice address phone:** (267) 206-1184
- **Mailing address:** 3253 DESERT STORM RD, FORT WORTH, TX 76127-1029

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 313M00000X | Nursing Facility/Intermediate Care Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 10/29/2013
- **Last updated:** 10/29/2013