Organization · Type 2 NPI

Southwest LTC - Fort Worth Alf, LLC

Assisted Living Facility · Fort Worth, TX

NPI number 1760914469 Active

Practice location

6931 River Park Cir
Fort Worth, TX 76116-8465

Call (817) 731-7611 Map

Fax (817) 731-4909

Mailing address

5560 Tennyson Pkwy Ste 210
Plano, TX 75024-3582

Specialties and licenses

Taxonomy	Code	License
Assisted Living Facility Primary	310400000X	145897 (TX)

Assisted Living Facility: A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.

Another provider at this address

Stacy Millen, PTAPhysical Therapy Assistant Fort Worth, TX NPI 1538040381

Other assisted living facility providers in Fort Worth

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NPI record

NPI: 1760914469
Entity type: Organization (Type 2)
Issued: Mar 31, 2017
Last updated: Nov 11, 2021
Status: Active

Other names

<unavail>
Colonial Gardens of Fort Worth Fw-2 · doing business as
Colonial Gardens of Fort Worth Fw-2 · doing business as

Authorized official

Ronald Payne
Manager
(469) 916-6100

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1760914469

Southwest LTC - Fort Worth Alf, LLC's National Provider Identifier is 1760914469, issued on Mar 31, 2017. The primary taxonomy on file is Assisted Living Facility (310400000X), and the practice location is in Fort Worth, TX. The record was last updated on Nov 11, 2021.