Organization
LEGACY LIVING CENTERS
Active
Other names
Fort Worth Manor
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARIE LAWSON (ADMINISTRATOR)
(817) 531-3707
Entity
Organization
Contact information
Practice address
4900 E BERRY ST, FORT WORTH, TX 76105-4314
(817) 531-3707
(817) 536-1648
Mailing address
4900 E BERRY ST, FORT WORTH, TX 76105-4314
(817) 531-3707
(817) 536-1648
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
113559
TX
Other
Enumeration date
10/05/2005
Last updated
08/22/2020
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