# NEW GRAHAM OAKS CARE CENTER INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1013981794
- **Authorized official:** MR. KEVIN MICHAEL WILLMETH L.N.F.A (ADMINISTRATOR)
- **Authorized official phone:** (940) 549-8787

## Contact information

- **Practice address:** 1325 1ST ST, GRAHAM, TX 76450-3603
- **Practice address phone:** (940) 549-8787
- **Practice address fax:** (994) 054-9557
- **Mailing address:** 1325 1ST ST, GRAHAM, TX 76450-3603
- **Mailing address phone:** (940) 549-8787
- **Mailing address fax:** (994) 054-9557

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 114203 | TX | Yes |

## Other

- **Enumeration date:** 02/17/2006
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 5241 | VENDER NUMBER | TX |