# LUFKIN II ENTERPRISES, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Lufkin Skilled Care
- **Organization subpart:** No

## Provider details

- **NPI number:** 1093115966
- **Authorized official:** GARY BLAKE (MANAGING MEMBER)
- **Authorized official phone:** (817) 348-8841

## Contact information

- **Practice address:** 504 N JOHN REDDITT DR, LUFKIN, TX 75904-2644
- **Practice address phone:** (936) 632-3331
- **Practice address fax:** (936) 634-1611
- **Mailing address:** 504 N JOHN REDDITT DR, LUFKIN, TX 75904-2644
- **Mailing address phone:** (936) 632-3331
- **Mailing address fax:** (936) 634-1611

## Taxonomy

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

## Other

- **Enumeration date:** 08/28/2014
- **Last updated:** 02/25/2015

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 001026162 | — | TX |
| 01 | — | 004771 | FACILITY ID | TX |