# MSPF-IV RIDGEMAR OE, LP

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- **Entity:** Organization
- **Status:** Active
- **Other names:** THE PLAZA AT RIDGEMAR
- **Organization subpart:** No

## Provider details

- **NPI number:** 1801067269
- **Authorized official:** MR. DAVID RONCK (PRESIDENT)
- **Authorized official phone:** (214) 651-4050

## Contact information

- **Practice address:** 6600 LANDS END CT, FORT WORTH, TX 76116-2100
- **Practice address phone:** (817) 665-1971
- **Practice address fax:** (817) 665-1977
- **Mailing address:** 3811 TURTLE CREEK BLVD, SUITE \#1850, DALLAS, TX 75219-4402
- **Mailing address phone:** (214) 651-4050
- **Mailing address fax:** (214) 651-4001

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 116802 | TX | Yes |

## Other

- **Enumeration date:** 03/13/2008
- **Last updated:** 04/07/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 5470 | MEDICAID VENDOR | TX |