| NPI | 1356376321 |
|---|---|
| Doing Business As | COMMUNITY CARE CENTER OF FORT WORTH |
| Entity Type | Organization |
| Authorized Contact | ROYCE FREEBOURN C Eo 940-220-6440 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility |
| Enumeration Date | 2006-07-11 |
| Last Update Date | 2020-08-22 |