| NPI | 1598752495 |
|---|---|
| Doing Business As | FORT WORTH MANOR |
| Entity Type | Organization |
| Authorized Contact | MARIE LAWSON Administrator 817-531-3707 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: TX 113559) |
| Enumeration Date | 2005-10-05 |
| Last Update Date | 2020-08-22 |