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Organization
NEW GRAHAM OAKS CARE CENTER INC.
Active
Organization
NEW GRAHAM OAKS CARE CENTER INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KEVIN MICHAEL WILLMETH L.N.F.A (ADMINISTRATOR)
(940) 549-8787
Entity
Organization
Contact information
Practice address
1325 1ST ST, GRAHAM, TX 76450-3603
(940) 549-8787
(994) 054-9557
Mailing address
1325 1ST ST, GRAHAM, TX 76450-3603
(940) 549-8787
(994) 054-9557
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
114203
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5241
VENDER NUMBER
TX
Enumeration date
02/17/2006
Last updated
08/22/2020
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