NPI | 1558893701 |
---|---|
Doing Business As | COLONIAL GARDENS OF FORT WORTH FW-1 |
Entity Type | Organization |
Authorized Contact | RONALD R PAYNE Manager 469-916-6100 |
Organization Subpart ? | No |
Primary Taxonomy | 310400000X Assisted Living Facility |
Enumeration Date | 2017-03-28 |
Last Update Date | 2021-11-11 |