NPI 1023605730
Slp Fort Worth LLC
Practice location
- Address
- 701 Saint Louis Ave, Fort Worth, TX 76104-3324
- Phone
- (817) 332-9962
- Fax
- (817) 332-9252
Authorised official
- Name
- Cassandra Mistretta
- Title
- Ceo
- Phone
- (817) 410-7300
Registered specialties
Skilled Nursing Facility
Primary
Registry record
- NPI
- 1023605730
- Entity type
- Organization
- NPI issued
- 29 Dec 2020
- Record last updated
- 29 Dec 2020
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.