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Organization

WEST WHARTON COUNTY HOSPITAL DISTRICT

Active
Other names
Mallard Creek Therapy and Living Center
Organization subpart
No

Provider details

NPI number
Authorized official
JOHNNY BOOTH THOMPSON (ADMINISTRATOR)
(361) 576-9454
Entity
Organization

Contact information

Practice address
6649 N RIVERSIDE DR, FORT WORTH, TX 76137-6640
(817) 847-1860
(866) 205-6470
Mailing address
6649 N RIVERSIDE DR, FORT WORTH, TX 76137-6640
(817) 847-1860
(866) 205-6470

Taxonomy

Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary

Other

Enumeration date
03/18/2024
Last updated
04/10/2026
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