Organization
REGENCY HOSPITAL OF FORT WORTH, LLLP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL TARVIN (VICE PRESIDENT)
(717) 972-1100
Entity
Organization
Contact information
Practice address
6801 OAKMONT BOULEVARD, FORT WORTH, TX 76132
(770) 754-5232
(770) 776-5321
Mailing address
4714 GETTYSBURG RD, LEGAL DPT, MECHANICSBURG, PA 17055-4325
(717) 972-1100
(717) 975-9981
Taxonomy
Speciality
Code
Description
License number
State
282E00000X
Long Term Care Hospital
Primary
008392
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
191816101
—
TX
Enumeration date
05/04/2006
Last updated
08/31/2010
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