JAMES L WEST PRESBYTERIAN SPECIAL CARE CENTER
Alzheimer Center
Fort Worth, Texas
Provider NPI: 1174604813
Organization Information:Organization Name: JAMES L WEST PRESBYTERIAN SPECIAL CARE CENTER
Practice Location:
1111 SUMMIT AVE FORT WORTH, TX 76102 US
Tel: 817-877-1199 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Other Provider Identifiers:
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
Practice Location:
1111 SUMMIT AVE FORT WORTH, TX 76102 US
Tel: 817-877-1199 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
X | 311500000X | Nursing & Custodial Care Facilities Alzheimer Center (Dementia Center) | TX | 000239 |
X | 314000000X | Nursing & Custodial Care Facilities Skilled Nursing Facility | TX | 000239 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
LICENSED ADULT DAY CARE | 001411 | TX | 01 |
LICENSED NURSING FACILITY | 000239 | TX | 01 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin