Organization
JACK JUDSON, LLC
Active
Other names
SCP Acquisition Partners, LTD
Organization subpart
No
Provider details
NPI number
Authorized official
ALICIA G KIRKPATRICK (PRESIDENT)
(817) 847-5741
Entity
Organization
Contact information
Practice address
4244 RIVER BIRCH RD, FORT WORTH, TX 76137-1132
(817) 847-5741
Mailing address
4244 RIVER BIRCH RD, FORT WORTH, TX 76137-1132
(817) 847-5741
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
007476
TX
Other
Enumeration date
12/11/2006
Last updated
06/19/2008
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