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Organization
MARINE CREEK NURSING AND REHABILITATION LP
Active
Organization
MARINE CREEK NURSING AND REHABILITATION LP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAN D. FLAGG (CEO)
(940) 387-4388
Entity
Organization
Contact information
Practice address
3600 ANGLE AVE, FORT WORTH, TX 76106-3559
(817) 624-6164
(817) 624-7523
Mailing address
419 S ELM ST, DENTON, TX 76201-6085
(940) 387-4388
(940) 380-2410
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01004880
—
TX
01
—
163345501
TMHP (CROSSOVER)
TX
Enumeration date
09/27/2005
Last updated
01/30/2019
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