Organization
CIVITAS SENIOR HEALTHCARE, LLC
Active
Other names
Civitas Senior Living
Organization subpart
No
Provider details
NPI number
Authorized official
COOPER VITTITOW (PRESIDENT)
(817) 454-5561
Entity
Organization
Contact information
Practice address
930 W 1ST ST STE 400, FORT WORTH, TX 76102-2743
(817) 386-8888
Mailing address
930 W 1ST ST STE 400, FORT WORTH, TX 76102-2743
(817) 386-8888
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
03/31/2021
Last updated
03/31/2021
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