Organization
FORT WORTH HEALTH REJUVENATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NAOMI LEWIS (CO OWNER/CNA)
(609) 349-0015
Entity
Organization
Contact information
Practice address
3253 DESERT STORM RD, FORT WORTH, TX 76127-1029
(267) 206-1184
Mailing address
3253 DESERT STORM RD, FORT WORTH, TX 76127-1029
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
—
—
Other
Enumeration date
10/29/2013
Last updated
10/29/2013
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