CHARLESTON DFW OPERATIONS LLC

Skilled Nursing Facility

OIG CLEARNPI VERIFIED

Location

FORT WORTH, TX

Licensed since

2013

Rate

—

Federal identifiers

NPI registry number1851729560

Agency details

Medicare activity

StatusNo Medicare utilization on file — neutral.

Authorized official

NameKENDALL BROUSSARD

TitleMANAGING MEMBER

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