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Organization

FORT WORTH SENIOR CARE, LLC

Active
Other names
Lakewood Village Personal Care Unit
Organization subpart
No

Provider details

NPI number
Authorized official
CYNTHIA MATHENY (AUTHORIZED SIGNATORY)
(423) 883-7920
Entity
Organization

Contact information

Practice address
5100 RANDOL MILL RD, FORT WORTH, TX 76112-1553
(817) 548-3200
Mailing address
5100 RANDOL MILL RD, FORT WORTH, TX 76112-1553
(817) 548-3200

Taxonomy

Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
320700000X
Physical Disabilities Residential Treatment Facility
Primary

Other

Enumeration date
08/19/2024
Last updated
09/13/2024
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