| NPI | 1912967506 |
|---|---|
| Doing Business As | CLC POLK CITY |
| Entity Type | Organization |
| Authorized Contact | GARY R TREBERT CEO 817-359-2000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility |
| Enumeration Date | 2006-03-27 |
| Last Update Date | 2020-08-22 |