Organization
GO GIVER
Active
Organization
GO GIVER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MATTHEW LOFTIS M.B.A. (CHIEF FINANCIAL OFFICER)
(817) 500-3091
Entity
Organization
Contact information
Practice address
3237 S UNIVERSITY DR, FORT WORTH, TX 76109-2239
(817) 420-9373
Mailing address
3237 S UNIVERSITY DR, FORT WORTH, TX 76109-2239
(817) 420-9373
Taxonomy
Speciality
Code
Description
License number
State
376G00000X
Nursing Home Administrator
Primary
—
—
Other
Enumeration date
04/26/2022
Last updated
04/26/2022
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