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Organization
FANNIN COUNTY HOSPITAL AUTHORITY
Active
Organization
FANNIN COUNTY HOSPITAL AUTHORITY
Active
Other names
Interlochen Health and Rehabiltation Center
Organization subpart
No
Provider details
NPI number
Authorized official
CLARK SANDERSON (BOARD PRESIDENT)
(903) 583-1854
Entity
Organization
Contact information
Practice address
2645 W RANDOL MILL RD, ARLINGTON, TX 76012-4228
(817) 277-6789
Mailing address
4150 INTERNATIONAL PLZ STE 600, FORT WORTH, TX 76109-4831
(817) 348-8959
(817) 348-0466
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
114501
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1028814
—
TX
Enumeration date
04/02/2007
Last updated
05/26/2023
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