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NPI 1477297364 · Nursing Home Administrator · Fort Worth, TX
Provider details
- NPI number
- 1477297364
- Entity type
- Organization
- Primary specialty
- Nursing Home AdministratorNursing Service Related Providers
- Organization subpart
- No
- Authorized official
- Matthew Loftis, Chief Financial Officer(817) 500-3091
Specialties & taxonomies
Nursing Service Related Providers
Practice location
3237 S University Dr
Fort Worth, TX 76109-2239
Phone: (817) 420-9373
Approximate (ZIP-level) locationGet directions
Mailing address
3237 S University Dr
Fort Worth, TX 76109-2239
Registry dates
- Enumerated
- 2022-04-26
- Last updated
- 2022-04-26
- Certified
- 2022-04-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.