Organization · Type 2 NPI

Fort Worth Senior Care, LLC

Physical Disabilities Residential Treatment Facility · Fort Worth, TX

NPI number 1952133886 Active

Practice location

5100 Randol Mill Rd
Fort Worth, TX 76112-1553

Specialties and licenses

Taxonomy	Code	License
Assisted Living Facility	310400000X	None listed
Physical Disabilities Residential Treatment Facility Primary	320700000X	None listed

Physical Disabilities Residential Treatment Facility: A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with physical disabilities and are not able to live independently.

10 other providers at this address

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NPI record

NPI: 1952133886
Entity type: Organization (Type 2)
Issued: Aug 19, 2024
Last updated: Sep 13, 2024
Status: Active

Other names

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Lakewood Village Personal Care Unit · doing business as
Lakewood Village Personal Care Unit · doing business as

Authorized official

Cynthia Matheny
Authorized Signatory
(423) 883-7920

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About NPI 1952133886

Fort Worth Senior Care, LLC's National Provider Identifier is 1952133886, issued on Aug 19, 2024. The primary taxonomy on file is Physical Disabilities Residential Treatment Facility (320700000X), and the practice location is in Fort Worth, TX. The record was last updated on Sep 13, 2024.