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Jack Judson, Llc
Intellectual Disabilities Intermediate Care Facility in Fort Worth, Texas
NPI 1174683874

Jack Judson, Llc is a Intellectual Disabilities Intermediate Care Facility based in Fort Worth, TX. Jack Judson, Llc practices in Fort Worth, TX. The NPI Number for Jack Judson, Llc is 1174683874 and holds a License No. 007476 (Texas).

The current practice location address for Jack Judson, Llc is 4244 River Birch Rd, Fort Worth, TX and can be reached out via phone at 817-847-5741.

Location: 4244 River Birch Rd, Fort Worth, TX, 76137-1132
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1174683874
Provider Name
Jack Judson, Llc
Credential
Provider Entity Type
Organization
Address
4244 River Birch Rd, Fort Worth, TX, 76137-1132
Phone Number
817-847-5741
Fax Number
Provider Enumeration Date
12/11/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
4244 River Birch Rd
City
Fort Worth
State
Texas
Zip
76137-1132
Phone Number
817-847-5741
Fax Number
person
Provider Business Mailing Address Details
Address
4244 River Birch Rd
City
Fort Worth
State
Texas
Zip
76137-1132
Phone Number
817-847-5741
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Intermediate Care Facility, Mentally Retarded
Speciality
-
Taxonomy
315P00000X
License No.
007476 (Texas)
Definition
(1) A public institution for care of the mentally retarded or people with related conditions. (2) An institution giving active treatment to mentally retarded or developmentally disabled persons or persons with related conditions. The primary purpose of the institution is to provide health or rehabilitative services to such individuals.
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