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Organization
FIRESIDE LODGE RETIREMENT CENTER INC
Active
Organization
FIRESIDE LODGE RETIREMENT CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TERRY MCGRATH JR. (OWNER)
(817) 738-6556
Entity
Organization
Contact information
Practice address
4800 WHITE SETTLEMENT RD, FT WORTH, TX 76114-3955
(817) 738-6556
(817) 738-6559
Mailing address
4800 WHITE SETTLEMENT RD, FT WORTH, TX 76114-3955
(817) 738-6556
(817) 738-6559
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
117321
TX
Other
Enumeration date
07/23/2006
Last updated
08/22/2020
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