OrganizationActive
Care King LLC
NPI 1023317187 · Intellectual and/or Developmental Disabilities Residential Treatment Facility · Fort Worth, TX
Provider details
- NPI number
- 1023317187
- Entity type
- Organization
- Primary specialty
- Intellectual and/or Developmental Disabilities Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Jerry Green, Administrator(817) 510-7741
Specialties & taxonomies
Residential Treatment Facilities
Practice location
1129 Fairweather Dr
Fort Worth, TX 76120-3325
Phone: (817) 510-7741
Approximate (ZIP-level) locationGet directions
Mailing address
1129 Fairweather Dr
Fort Worth, TX 76120-3325
Registry dates
- Enumerated
- 2011-03-15
- Last updated
- 2013-08-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.