# LUFKIN LTC LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** The Grace Care Center of Lufkin
- **Organization subpart:** No

## Provider details

- **NPI number:** 1437194032
- **Authorized official:** JAKE HALLSTED (PRESIDENT)
- **Authorized official phone:** (832) 448-3700

## 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 | 107684 | TX | Yes |

## Other

- **Enumeration date:** 06/18/2006
- **Last updated:** 08/22/2020