# LAKE WORTH INVESTMENTS INC.

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

## Provider details

- **NPI number:** 1437134111
- **Authorized official:** MR. WILL CASSTEVENS (ADMINISTRATOR)
- **Authorized official phone:** (817) 237-6101

## Contact information

- **Practice address:** 4220 WELLS DR, FORT WORTH, TX 76135-2712
- **Practice address phone:** (817) 237-6101
- **Practice address fax:** (817) 237-4864
- **Mailing address:** 4220 WELLS DR, FORT WORTH, TX 76135-2712
- **Mailing address phone:** (817) 237-6101
- **Mailing address fax:** (817) 237-4864

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 110621 | TX | Yes |

## Other

- **Enumeration date:** 12/14/2005
- **Last updated:** 07/17/2019

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 001001122 | — | TX |