# GRACE CARE OF TEXAS

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Community Care Center of Crockett
- **Organization subpart:** No

## Provider details

- **NPI number:** 1275641458
- **Authorized official:** MR. DAVID O CROWSON (RECEIVERSHIP)
- **Authorized official phone:** (972) 278-3566

## Contact information

- **Practice address:** 1150 E LOOP 304, CROCKETT, TX 75835-1810
- **Practice address phone:** (936) 544-2051
- **Practice address fax:** (936) 544-8981
- **Mailing address:** 505 W CENTERVILLE RD, GARLAND, TX 75041-5445
- **Mailing address phone:** (972) 278-3566
- **Mailing address fax:** (972) 840-0888

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 4802 | TX | Yes |

## Other

- **Enumeration date:** 08/28/2006
- **Last updated:** 08/22/2020