# THE CENTER AT GRANDE, LLC

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

## Provider details

- **NPI number:** 1396291969
- **Authorized official:** JAMES P MICHAELS M.D. (PRESIDENT)
- **Authorized official phone:** (903) 939-7501

## Contact information

- **Practice address:** 3219 EAST GRANDE BLVD, TYLER, TX 75707
- **Practice address phone:** (903) 939-7501
- **Mailing address:** 3219 E GRANDE BLVD, TYLER, TX 75707-1407
- **Mailing address phone:** (903) 283-9700
- **Mailing address fax:** (903) 283-9750

## Taxonomy

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

## Other

- **Enumeration date:** 09/01/2016
- **Last updated:** 03/08/2023