Organization
PARKER COUNTY HOSPITAL DISTRICT
Active
Other names
College Park Rehabilitation and Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
RANDY BACUS (CEO)
(817) 341-2520
Entity
Organization
Contact information
Practice address
1715 MARTIN DR, WEATHERFORD, TX 76086-6738
(817) 458-3100
(817) 458-3150
Mailing address
1130 PECAN DR, WEATHERFORD, TX 76086-5774
(817) 341-2520
(817) 458-3150
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
103708
FACILITY ID
TX
Enumeration date
09/05/2008
Last updated
12/28/2021
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