1891782298 FORTH WORTH MANOR INC

Nursing Facility/Intermediate Care Facility

Active

Basic Information

Organization Name
FORTH WORTH MANOR INC
Enumeration Date
September 30, 2005
Last Update
June 16, 2008
Authorized Official
JANICE PITA
INSURANCE/MEDICARE
Phone: (580) 622-6300

Practice Location

Address
110 W MUSKOGEE AVE
SULPHUR, OK 730864810
Phone
(580) 622-6300
Fax
(580) 622-8344

Mailing Address

Address
4900 E BERRY ST
FORT WORTH, TX 761054314
Phone
(817) 531-3707
Fax
(817) 536-1648

Specialties & Taxonomies

Specialty Code Classification License State Primary
Nursing Facility/Intermediate Care Facility
313M00000X Nursing Facility/Intermediate Care Facility 113559 TX Primary

Other Identifiers

Identifier Type State Issuer
HH320S 01 TX BLUE CROSS BLUE SHIELD
001012189 05 TX N/A

Frequently Asked Questions

What is FORTH WORTH MANOR INC's NPI number?
FORTH WORTH MANOR INC's NPI number is 1891782298.
Which doctor has NPI number 1891782298?
The doctor with NPI number 1891782298 is FORTH WORTH MANOR INC.
What is FORTH WORTH MANOR INC's practice address?
FORTH WORTH MANOR INC's practice address is 110 W MUSKOGEE AVE, SULPHUR, OK, 730864810.
Which doctor practices at 110 W MUSKOGEE AVE, SULPHUR, OK, 730864810?
FORTH WORTH MANOR INC practices at 110 W MUSKOGEE AVE, SULPHUR, OK, 730864810.
What is FORTH WORTH MANOR INC's mailing address?
FORTH WORTH MANOR INC's mailing address is 4900 E BERRY ST, FORT WORTH, TX, 761054314.
What is FORTH WORTH MANOR INC's phone number?
FORTH WORTH MANOR INC's phone number is (580) 622-6300.
Who is (580) 622-6300?
(580) 622-6300 is the phone number for FORTH WORTH MANOR INC.
What is FORTH WORTH MANOR INC's specialty?
FORTH WORTH MANOR INC's specialty is Nursing Facility/Intermediate Care Facility.
What type of doctor is FORTH WORTH MANOR INC?
FORTH WORTH MANOR INC is a Nursing Facility/Intermediate Care Facility.
Is FORTH WORTH MANOR INC a Nursing Facility/Intermediate Care Facility?
Yes, FORTH WORTH MANOR INC is a Nursing Facility/Intermediate Care Facility.
Is FORTH WORTH MANOR INC still practicing?
Yes, FORTH WORTH MANOR INC is currently practicing.
Is FORTH WORTH MANOR INC accepting new patients?
FORTH WORTH MANOR INC may be accepting new patients. Please call their office at (580) 622-6300 to inquire about availability.
Is NPI 1891782298 still active?
Yes, NPI 1891782298 is currently active.
Where does FORTH WORTH MANOR INC practice?
FORTH WORTH MANOR INC practices in SULPHUR, OK.