NPI 1023317187
Care King LLC
Practice location
- Address
- 1129 Fairweather Dr, Fort Worth, TX 76120-3325
- Phone
- (817) 510-7741
Authorised official
- Name
- Jerry Green
- Title
- Administrator
- Phone
- (817) 510-7741
Registered specialties
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
Registry record
- NPI
- 1023317187
- Entity type
- Organization
- NPI issued
- 15 Mar 2011
- Record last updated
- 21 Aug 2013
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.