Organization
SOUTHWEST LTC - FORT WORTH ALF, LLC
Active
Other names
Colonial Gardens of Fort Worth FW-2
Organization subpart
No
Provider details
NPI number
Authorized official
RONALD PAYNE (MANAGER)
(469) 916-6100
Entity
Organization
Contact information
Practice address
6931 RIVER PARK CIR, FORT WORTH, TX 76116-8465
(817) 731-7611
(817) 731-4909
Mailing address
5560 TENNYSON PKWY STE 210, PLANO, TX 75024-3582
(469) 916-6100
(469) 916-6105
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
145897
TX
Other
Enumeration date
03/31/2017
Last updated
11/11/2021
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