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NPI Code Detail

MEDICARE: CUMBERLAND REST INC

MEDICARE: CUMBERLAND REST INC
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 Facility111033TX

General Provider Information

NPI Number : 1619977246
Entity Type Code : Organization
Provider Name (Legal Business Name) : CUMBERLAND REST INC
Provider Business Mailing Address
First Line : 1600 TEXAS ST
Second Line :
City : FORT WORTH
State : TX
Zip : 76102-3400
Country : US
Telephone Number : 817-338-2400
Fax Number : 817-335-2733
Provider Business Practice Location Address
First Line : 1600 TEXAS ST
Second Line :
City : FORT WORTH
State : TX
Zip : 76102-3400
Country : US
Telephone Number : 817-338-2400
Fax Number : 817-335-2733
Authorized Official
Title or Position : EXECUTIVE DIRECTOR
Name : BRIAN YOUNG
Credential :
Telephone Number : 817-233-8736
Provider Enumeration Date : 07/26/2005
Last Update Date : 12/11/2025

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Directions to “CUMBERLAND REST INC ” Practice Location

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