| NPI | 1366975856 |
|---|---|
| Doing Business As | MATLOCK PLACE HEALTH & REHABILITATION CENTER |
| Entity Type | Organization |
| Authorized Contact | RANDY BACUS CEO 817-341-2520 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility |
| Enumeration Date | 2017-04-11 |
| Last Update Date | 2019-03-31 |