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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:

PrimaryCodeCategory/DescriptionStateLicense Number
X311500000XNursing & Custodial Care Facilities
Alzheimer Center (Dementia Center)
TX000239
X314000000XNursing & Custodial Care Facilities
Skilled Nursing Facility
TX000239

Other Provider Identifiers:

IssuerNumberStateType
LICENSED ADULT DAY CARE001411TX01
LICENSED NURSING FACILITY000239TX01
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin




ALZHEIMERS JOBS TX - Page 1



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