Organization
FW SENIOR COMMUNITY LTD CO
Active
Other names
The Harrison at Heritage
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ROBIN F UNDERHILL (CHIEF EXECUTIVE OFFICER)
(214) 954-4114
Entity
Organization
Contact information
Practice address
4600 HERITAGE TRACE PKWY, FORT WORTH, TX 76244-8900
(214) 954-4114
(214) 871-3057
Mailing address
2537 GOLDEN BEAR DR, CARROLLTON, TX 75006-2377
(214) 954-4114
(214) 871-3057
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001020452
—
TX
Enumeration date
03/08/2012
Last updated
11/08/2012
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