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Organization

DECATUR HOSPITAL AUTHORITY

Active
Other names
dfw nursing & rehab
Organization subpart
No

Provider details

NPI number
Authorized official
BRIAN TODD SCROGGINS (CEO)
(940) 900-4348
Entity
Organization

Contact information

Practice address
900 W LEUDA ST, FORT WORTH, TX 76104-3002
(817) 332-7003
(817) 623-6742
Mailing address
127 W BROAD ST, SUITE 800, LAKE CHARLES, LA 70601-4393
(337) 439-6600
(337) 439-6647

Taxonomy

Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
138915
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
004002
TX
05
1026504
TX
Enumeration date
12/04/2014
Last updated
05/06/2026
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