Organization
SUMMIT LTC KENNEDALE, LLC
Active
Other names
PECAN MANOR NURSING & REHABILITATION
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTOPHER M SLIMMER (MANAGER)
(817) 681-4811
Entity
Organization
Contact information
Practice address
413 MANSFIELD CARDINAL RD, KENNEDALE, TX 76060-2805
(817) 561-4495
Mailing address
1412 VIRGINIA PL, FORT WORTH, TX 76107-2466
(817) 681-4811
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
TX
Other
Enumeration date
10/21/2016
Last updated
10/21/2016
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