Organization
CARE KING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JERRY GREEN (ADMINISTRATOR)
(817) 510-7741
Entity
Organization
Contact information
Practice address
1129 FAIRWEATHER DR, FORT WORTH, TX 76120-3325
(817) 510-7741
Mailing address
1129 FAIRWEATHER DR, FORT WORTH, TX 76120-3325
(817) 510-7741
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
—
Other
Enumeration date
03/15/2011
Last updated
08/21/2013
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