Organization
PENNSYLVANIA REHAB LP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DENISE L DEAPEN (PRESIDENT)
(817) 335-3030
Entity
Organization
Contact information
Practice address
901 PENNSYLVANIA AVE, FORT WORTH, TX 76104-2226
(817) 335-3030
(817) 335-2518
Mailing address
901 PENNSYLVANIA AVE, FORT WORTH, TX 76104-2226
(817) 335-3030
(817) 335-2518
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
117489
TX
Other
Enumeration date
07/08/2006
Last updated
08/22/2020
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