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Organization
LUFKIN LTC LLC
Active
Organization
LUFKIN LTC LLC
Active
Other names
The Grace Care Center of Lufkin
Organization subpart
No
Provider details
NPI number
Authorized official
JAKE HALLSTED (PRESIDENT)
(832) 448-3700
Entity
Organization
Contact information
Practice address
504 N JOHN REDDITT DR, LUFKIN, TX 75904-2644
(936) 632-3331
(936) 634-1611
Mailing address
504 N JOHN REDDITT DR, LUFKIN, TX 75904-2644
(936) 632-3331
(936) 634-1611
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
107684
TX
Other
Enumeration date
06/18/2006
Last updated
08/22/2020
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