Organization
WATERMARK BROADWAY CITYVIEW, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID FRESHWATER (DIRECTOR)
(520) 797-4000
Entity
Organization
Contact information
Practice address
5301 BRYANT IRVIN RD, FORT WORTH, TX 76132-4030
(817) 346-9407
Mailing address
2020 W RUDASILL RD, TUCSON, AZ 85704-7800
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
07/24/2020
Last updated
01/19/2023
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