Healthcare Provider Details

I. General information

NPI: 1801073002
Provider Name (Legal Business Name): SCP ACQUISITION PARTNERS, LTD
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/30/2008
Last Update Date: 01/30/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

524 N PEARSON ST
GODLEY TX
76044-3702
US

IV. Provider business mailing address

4244 RIVER BIRCH RD
FORT WORTH TX
76137-1132
US

V. Phone/Fax

Practice location:
  • Phone: 817-389-3442
  • Fax: 817-389-2354
Mailing address:
  • Phone: 817-847-5741
  • Fax: 817-847-5721

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code315P00000X
TaxonomyIntellectual Disabilities Intermediate Care Facility
License Number
License Number State

VIII. Authorized Official

Name: ALICIA KIRKPATRICK
Title or Position: OWNER
Credential:
Phone: 817-847-5741