# LION STAR NACOGDOCHES HOSPITAL, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Cecil B. Bomar Rehabilitation Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1043880123
- **Authorized official:** BRANDY BOYD CPA (CFO)
- **Authorized official phone:** (936) 568-8523

## Contact information

- **Practice address:** 707 WOODS ST, NACOGDOCHES, TX 75961-4411
- **Practice address phone:** (936) 568-8488
- **Mailing address:** 707 WOODS ST, NACOGDOCHES, TX 75961-4411
- **Mailing address phone:** (936) 568-8488

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 273Y00000X | Rehabilitation Hospital Unit | — | NULL | Yes |

## Other

- **Enumeration date:** 06/30/2021
- **Last updated:** 10/26/2022