# FPACP ELLIS LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Focused Care of Waxahachie
- **Organization subpart:** No

## Provider details

- **NPI number:** 1609312370
- **Authorized official:** MR. MARK MCKENZIE (MANAGER)
- **Authorized official phone:** (817) 632-1000

## Contact information

- **Practice address:** 1413 W MAIN ST, WAXAHACHIE, TX 75165-2241
- **Practice address phone:** (972) 937-2298
- **Practice address fax:** (972) 923-2010
- **Mailing address:** 1401 BALLINGER ST, FORT WORTH, TX 76102-5903
- **Mailing address phone:** (817) 632-1000
- **Mailing address fax:** (817) 632-1001

## Taxonomy

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

## Other

- **Enumeration date:** 01/18/2017
- **Last updated:** 05/06/2021