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Organization
INDEPENDENT ORDER OF ODD FELLOWS GRAND LODGE 100F OF TEXAS
Active
Organization
INDEPENDENT ORDER OF ODD FELLOWS GRAND LODGE 100F OF TEXAS
Active
Other names
Odd Fellow and Rebekah Nursing Home
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES M CURTIS (GRAND SECRETARY)
(903) 872-7438
Entity
Organization
Contact information
Practice address
2300 S OAK GROVE RD, ENNIS, TX 75119-6841
(972) 875-8643
(972) 875-1179
Mailing address
2300 S OAK GROVE RD, ENNIS, TX 75119-6841
(972) 875-8643
(972) 875-1179
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
114389
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000456001
—
TX
05
—
190096101
—
TX
Enumeration date
09/20/2005
Last updated
02/13/2019
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