JACK JUDSON LLC NPI 1174683874

NPI Information

JACK JUDSON, LLC is an intermediate care facility mentally retarded in Fort Worth, TX. The provider is an intermediate care facility providing services for individuals with intellectual disabilities. JACK JUDSON, LLC NPI is 1174683874. The provider is registered as an organization entity type.
The provider Is Doing Business As Scp Acquisition Partners, Ltd.

The provider's business location address is:

4244 RIVER BIRCH RD
FORT WORTH, TX
ZIP 76137-132
Phone: (817) 847-5741

The provider's authorized official is Alicia G Kirkpatrick .
The authorized official title is President and has the following contact phone number (817) 847-5741.

The enumeration date for this NPI number is 12/11/2006 and was last updated on 6/19/2008.

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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