RIDGLEA SENIOR LIVING 2015 LLC NPI 1609378603

NPI Information

RIDGLEA SENIOR LIVING 2015, LLC is an assisted living facility in Fort Worth, TX. The provider is a facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. RIDGLEA SENIOR LIVING 2015, LLC NPI is 1609378603. The provider is registered as an organization entity type.
The provider Is Doing Business As The Ridglea Senior Living.

The provider's business location address is:

4109 WESTRIDGE AVE
FORT WORTH, TX
ZIP 76116-410
Phone: (817) 386-8251

The provider's authorized official is Tanner Stierwalt .
The authorized official title is Operations and has the following contact phone number (817) 851-5805.

The CLIA number assigned to this NPI record is 45D2199244 - assisted living facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/6/2018 and was last updated on 3/6/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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