# LTHM GROVES - OPERATIONS LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Renaissance Hospital - Groves
- **Organization subpart:** No

## Provider details

- **NPI number:** 1639310634
- **Authorized official:** MR. DAMIAN KIRK SOILEAU (CEO)
- **Authorized official phone:** (832) 866-1840

## Contact information

- **Practice address:** 5500 39TH ST, GROVES, TX 77619-2905
- **Practice address phone:** (409) 962-5733
- **Practice address fax:** (409) 963-5202
- **Mailing address:** 5500 39TH ST, GROVES, TX 77619-2905
- **Mailing address phone:** (409) 962-5733
- **Mailing address fax:** (409) 963-5202

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 273R00000X | Psychiatric Hospital Unit | 100006 | TX | — |
| 282N00000X | General Acute Care Hospital | 100006 | TX | Yes |

## Other

- **Enumeration date:** 03/20/2009
- **Last updated:** 10/14/2009