# FWM HEALTHCARE, LLC DBA FT. WORTH MANOR

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

## Provider details

- **NPI number:** 1588725592
- **Authorized official:** AL SUTTON (PRESIDENT)
- **Authorized official phone:** (817) 514-2203

## Contact information

- **Practice address:** 4900 E BERRY ST, FT WORTH, TX 76105-4314
- **Practice address phone:** (817) 531-3707
- **Mailing address:** 2712 HURSTVIEW DR, HURST, TX 76054-2402
- **Mailing address phone:** (817) 514-2203
- **Mailing address fax:** (817) 281-6717

## Taxonomy

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

## Other

- **Enumeration date:** 12/13/2006
- **Last updated:** 08/22/2020