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NPI Code Detail

MEDICARE: THI OF TEXAS AT FORT WORTH, LLC

MEDICARE: THI OF TEXAS AT FORT WORTH, LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1314000000XSkilled Nursing Facility

General Provider Information

NPI Number : 1194812388
Entity Type Code : Organization
Provider Name (Legal Business Name) : THI OF TEXAS AT FORT WORTH, LLC
Provider Business Mailing Address
First Line : 930 RIDGEBROOK RD
Second Line :
City : SPARKS
State : MD
Zip : 21152-9390
Country : US
Telephone Number : 410-773-1000
Fax Number :
Provider Business Practice Location Address
First Line : 8001 WESTERN HILLS BLVD
Second Line :
City : FORT WORTH
State : TX
Zip : 76108-3524
Country : US
Telephone Number : 817-246-4953
Fax Number : 817-246-7917
Authorized Official
Title or Position : PRESIDENT
Name : NINA JANI
Credential :
Telephone Number : 817-246-4953
Provider Enumeration Date : 10/07/2006
Last Update Date : 03/31/2008

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Directions to “THI OF TEXAS AT FORT WORTH, LLC ” Practice Location

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