Organization
LAKE WORTH INVESTMENTS INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILL CASSTEVENS (ADMINISTRATOR)
(817) 237-6101
Entity
Organization
Contact information
Practice address
4220 WELLS DR, FORT WORTH, TX 76135-2712
(817) 237-6101
(817) 237-4864
Mailing address
4220 WELLS DR, FORT WORTH, TX 76135-2712
(817) 237-6101
(817) 237-4864
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
110621
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001001122
—
TX
Enumeration date
12/14/2005
Last updated
07/17/2019
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