Organization
SOUTHWEST FORT WORTH MEMORY CARE, LLC
Active
Other names
Autumn Leaves of Cityview
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHAD ANDERSON (PRESIDENT)
(214) 845-4500
Entity
Organization
Contact information
Practice address
7100 DUTCH BRANCH RD, FT WORTH, TX 76132-6111
(817) 769-3800
(817) 769-3801
Mailing address
545 E JOHN CARPENTER FWY, SUITE 500, IRVING, TX 75062-3931
(214) 845-4500
(214) 845-4501
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
104331
TX
Other
Enumeration date
02/20/2012
Last updated
02/20/2012
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