# HOME FOR AGED MASONS CLINIC NURSING CENTER

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Texas Masonic Retirement Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1316072192
- **Authorized official:** MR. KIRBY RUDISILL ADMINISTRATOR (ADMINISTRATOR)
- **Authorized official phone:** (817) 275-2893

## Contact information

- **Practice address:** 1501 W DIVISION ST, ARLINGTON, TX 76012-3818
- **Practice address phone:** (817) 275-2893
- **Practice address fax:** (817) 275-1065
- **Mailing address:** 1501 W DIVISION ST, ARLINGTON, TX 76012-3818
- **Mailing address phone:** (817) 275-2893
- **Mailing address fax:** (817) 275-1065

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 0237 | TX | Yes |

## Other

- **Enumeration date:** 02/22/2007
- **Last updated:** 08/22/2020