Organization
KINDRED TRANSITIONAL CARE RIDGEMAR
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LYLE BLACK PT (REHAB DIRECTOR)
(435) 764-2888
Entity
Organization
Contact information
Practice address
6600 LANDS END CT, FORT WORTH, TX 76116-2100
(435) 764-2888
Mailing address
6600 LANDS END CT, FORT WORTH, TX 76116-2100
(435) 764-2888
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
1073
OK
Other
Enumeration date
09/06/2011
Last updated
09/06/2011
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