# NACOGDOCHES COUNTY HOSPITAL DISTRICT

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Legacy at Jacksonville, Bonner Street Plaza Healthcare & Rehabilitation
- **Organization subpart:** No

## Provider details

- **NPI number:** 1093131476
- **Authorized official:** LYNN LINDSEY (ADMINISTRATOR)
- **Authorized official phone:** (365) 694-1679

## Contact information

- **Practice address:** 810 BELLAIRE ST, JACKSONVILLE, TX 75766-9045
- **Practice address phone:** (903) 589-5300
- **Practice address fax:** (903) 589-5335
- **Mailing address:** 1018 N MOUND ST STE 105, NACOGDOCHES, TX 75961-4434
- **Mailing address phone:** (936) 221-5809
- **Mailing address fax:** (936) 569-4159

## Taxonomy

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

## Other

- **Enumeration date:** 03/10/2014
- **Last updated:** 01/02/2024

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 110205 | — | TX |