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Organization
BANNOCKBURN GROUP, LLC
Active
Organization
BANNOCKBURN GROUP, LLC
Active
Other names
Ralls Nursing Home
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREW JAY WYATT (MANAGING MEMBER)
(806) 771-0272
Entity
Organization
Contact information
Practice address
1111 AVENUE P, RALLS, TX 79357-3502
(806) 253-2596
(806) 253-2749
Mailing address
11006 GENOA AVE, LUBBOCK, TX 79424-3838
(806) 771-0272
(806) 771-0272
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
0000
TX
Other
Enumeration date
03/06/2013
Last updated
03/06/2013
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