Organization
GREENBRIAR PRIME MANAGEMENT
Active
Parent organization
WGH-HERITAGE, INC
Other names
Heritage Square
Organization subpart
Yes
Provider details
NPI number
Legal business name
WGH-HERITAGE, INC
Authorized official
MR. DOUG SWEENEY (PRESIDENT)
(817) 535-3827
Entity
Organization
Contact information
Practice address
500 S BEACH ST, FORT WORTH, TX 76105-1104
(817) 535-3827
(817) 535-1362
Mailing address
PO BOX 2260, FORT WORTH, TX 76113-2260
(817) 535-3827
(817) 535-1362
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
125703
TX
Other
Enumeration date
01/15/2009
Last updated
01/15/2009
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