Organization
WEST WHARTON COUNTY HOSPITAL DISTRICT
Active
Other names
Granbury Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID MAK (CHIEF FINANCIAL OFFICER)
(979) 578-5250
Entity
Organization
Contact information
Practice address
301 SOUTH PARK STREET, GRANBURY, TX 76048-1800
(817) 573-3726
(817) 573-9077
Mailing address
4150 INTERNATIONAL PLAZA, SUITE 600, FORT WORTH, TX 76109-4831
(817) 348-8959
(817) 348-0466
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
113168
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001001761
—
TX
05
—
021600401
—
TX
Enumeration date
05/02/2006
Last updated
02/25/2022
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